Whalio Doctors

NPI 1962657783

Arizona Institure of Medicine & Surgery

Organisation Clinical Medical Laboratory Kingman, AZ

Practice location

Address
3636 Stockton Hill Rd, Kingman, AZ 86409
Phone
(928) 757-3680
Fax
(928) 757-3614
Mailing address
3636 Stockton Hill Rd, Kingman, AZ 86409-0514

Authorised official

Name
Azam S Khan
Title
Chief Administrative Officer
Phone
(928) 757-3636

Registered specialties (3)

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X Licence 03D0534286 (AZ)
Urgent Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QU0200X Licence OTC-0660 (AZ)
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Suppliers Taxonomy 335V00000X Licence OTC-0660 (AZ)

Registry record

NPI
1962657783
Entity type
Organization
NPI issued
20 Nov 2008
Record last updated
4 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.