| Internal Medicine & Lab Diagnostics Pc | |
|
333 E Virginia Ave #214 Phoenix AZ 85004 | |
| (602) 258-3122 | |
| (602) 258-3119 |
| Full Name | Internal Medicine & Lab Diagnostics Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 E Virginia Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Nada Krnjaic (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6022583122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Lab Diagnostics Pc 333 E Virginia Ave #214 Phoenix AZ 85004 Ph: (602) 258-3122 | Internal Medicine & Lab Diagnostics Pc 333 E Virginia Ave #214 Phoenix AZ 85004 Ph: (602) 258-3122 |
| NPI Number | 1013934983 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 8921187741 |
|---|---|
| Medicare Enrollment ID | O20080506000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013934983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24505 (Arizona) | Primary |
| Provider Name | Nada Krnjaic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538345848 PECOS PAC ID: 3971521485 Enrollment ID: I20051103000338 |
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