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1205422367
ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
PHOENIX, AZ
NPI
1205422367
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Entity Type
Organization
Authorized Contact
JEFF BROUWER
Managing Member
602-821-4517
Organization Subpart ?
No
Primary Taxonomy
293D00000X Physiological Laboratory
Enumeration Date
2020-12-14
Last Update Date
2020-12-15
Business Address
ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
8618 N 35TH AVE STE 3
PHOENIX, AZ 85051-3800
Phone number: 602-821-4517
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Mailing Address
ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
8660 S PEORIA AVE
TULSA, OK 74132-2827
Phone number:
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