ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC

PHOENIX, AZ
NPI1205422367
Entity TypeOrganization
Authorized ContactJEFF BROUWER
Managing Member
602-821-4517
Organization Subpart ?No
Primary Taxonomy293D00000X Physiological Laboratory
Enumeration Date2020-12-14
Last Update Date2020-12-15
Business Address
ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
8618 N 35TH AVE STE 3
PHOENIX, AZ 85051-3800
Phone number: 602-821-4517
Mailing Address
ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
8660 S PEORIA AVE
TULSA, OK 74132-2827
Phone number: