NPI 1205422367
Arizona Independent Diagnostic Testing Facility PLLC
Practice location
- Address
- 8618 N 35th Ave STE 3, Phoenix, AZ 85051-3800
- Phone
- (602) 821-4517
- Mailing address
- 8660 S Peoria Ave, Tulsa, OK 74132-2827
Authorised official
- Name
- Jeff Brouwer
- Title
- Managing Member
- Phone
- (602) 821-4517
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1205422367
- Entity type
- Organization
- NPI issued
- 14 Dec 2020
- Record last updated
- 15 Dec 2020
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.