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MIDC, LLC
NPI 1073854600
Internal Medicine - Infectious Disease in Goodyear, AZ

Active since March 06, 2013CLIA 14D0907868 · Waiver
13657 W MCDOWELL RD, SUITE 118, GOODYEAR, AZ 85395(623) 328-7794(623) 328-7932 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Midc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDC, LLC (NPI 1073854600) is a healthcare organization registered as an infectious disease in Goodyear, Arizona and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Tara Kowalski, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1073854600
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameMETRO INFECTIOUS DISEASE CONSULTANTS, LLC
Location Address13657 W MCDOWELL RD, SUITE 118Goodyear, AZ 85395-2601
Mailing Address901 Mcclintock Dr, Suite 202Burr Ridge, IL 60527-0871 · (888) 220-6432 · Fax (630) 734-4715
Phone(623) 328-7794
Fax(623) 328-7932
Organization SubpartNo
Authorized OfficialTara KowalskiCredentialing Manager · (888) 220-6432
Enumeration DateMarch 6, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073854600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
13657 W MCDOWELL RD, Goodyear, AZ 85395
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Other Names 1

Doing Business AsMidc, Llc

Other Identifiers 1

Medicaid780223AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0907868

Metro Infectious Disease Consultants P L C · Burr Ridge, IL
Active · expires Apr 6, 2028
CLIA Number14D0907868
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorRussell M. Petrak M D
Laboratory Phone(630) 654-4201
Laboratory LocationMetro Infectious Disease Consultants P L C901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX RHEUMATOLOGY CLINIC, PC
Internal Medicine (Rheumatology)
13657 W MCDOWELL RD, SUITE 204
GOODYEAR, AZ 85395
Maricopa County (602) 689-1355
HUGO L PINILLOS M.D.
Internal Medicine (Gastroenterology)
13657 W MCDOWELL RD, SUITE 204
GOODYEAR, AZ 85395
Maricopa County (623) 935-4056
MICHAEL HYDE DAY DMD
Dentist
13657 W MCDOWELL RD, SUITE 208
GOODYEAR, AZ 85395
Maricopa County (623) 535-9468
MRS. JENETTE DENISE RATLIFF RN, BSN
Registered Nurse (Wound Care)
13657 W MCDOWELL RD, SUITE 118
GOODYEAR, AZ 85395
Maricopa County (602) 471-1924
SMI IMAGING, LLC
Radiology (Diagnostic Radiology)
13657 W MCDOWELL RD, SUITE 111
GOODYEAR, AZ 85395
Maricopa County (623) 535-1166
RAJENDRA CHALASANI MD
Internal Medicine (Nephrology)
13657 W MCDOWELL RD, SUITE 210
GOODYEAR, AZ 85395
Maricopa County (623) 536-1185
SAMYUKTHA SREENIVASAN M.D.
Internal Medicine
13657 W MCDOWELL RD, SUITE 118
GOODYEAR, AZ 85395
Maricopa County (623) 935-9494
DR. TY ALEXANDER BOWMAN MD
Emergency Medicine
13657 W MCDOWELL RD
GOODYEAR, AZ 85395
Maricopa County (623) 882-1640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metro Infectious Disease Consultants, LLC's NPI number?

The NPI number for Metro Infectious Disease Consultants, LLC is 1073854600. It was assigned to this organization in the NPPES registry on March 6, 2013. The provider is doing business as Midc, LLC.

Where is Metro Infectious Disease Consultants, LLC located?

Metro Infectious Disease Consultants, LLC is located at 13657 W Mcdowell Rd Suite 118, Goodyear, AZ 85395. The listed phone number is (623) 328-7794.

What is Metro Infectious Disease Consultants, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does Metro Infectious Disease Consultants, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0907868) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Metro Infectious Disease Consultants, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Metro Infectious Disease Consultants, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Metro Infectious Disease Consultants, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.