ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
NPI 1205422367
Physiological Laboratory in Phoenix, AZ

Active since December 14, 2020
8618 N 35TH AVE STE 3, PHOENIX, AZ 85051(602) 821-4517 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arizona Independent Diagnostic Testing Facility Pllc NPPES

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

ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC (NPI 1205422367) is a healthcare organization registered as a physiological laboratory in Phoenix, Arizona and active in the NPI registry since December 2020. The organization lists Jeff Brouwer, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1205422367
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC
Location Address8618 N 35TH AVE STE 3Phoenix, AZ 85051-3800
Mailing Address8660 S Peoria AveTulsa, OK 74132-2827
Organization SubpartNo
Authorized OfficialJeff BrouwerManaging Member · (602) 821-4517
Enumeration DateDecember 14, 2020
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
NPI 1205422367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

8618 N 35TH AVE STE 3, Phoenix, AZ 85051

Other Providers at the Same Location NPPES 5

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

Physician Assistant
8618 N 35TH AVE STE 3
PHOENIX, AZ 85051
Nurse Practitioner (Family)
8618 N 35TH AVE STE 3
PHOENIX, AZ 85051
Family Medicine
8618 N 35TH AVE STE 3
PHOENIX, AZ 85051
Family Medicine
8618 N 35TH AVE STE 3
PHOENIX, AZ 85051
Nurse Practitioner (Family)
8618 N 35TH AVE STE 3
PHOENIX, AZ 85051

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 Arizona Independent Diagnostic Testing Facility PLLC's NPI number?

The NPI number for Arizona Independent Diagnostic Testing Facility PLLC is 1205422367. It was assigned to this organization in the NPPES registry on December 14, 2020.

Where is Arizona Independent Diagnostic Testing Facility PLLC located?

Arizona Independent Diagnostic Testing Facility PLLC is located at 8618 N 35th Ave Ste 3, Phoenix, AZ 85051. The listed phone number is (602) 821-4517.

What is Arizona Independent Diagnostic Testing Facility PLLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Arizona Independent Diagnostic Testing Facility PLLC was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.