ARIZONA IOM LLC
NPI 1831577139
Specialist/Technologist, Other - Electroneurodiagnostic in Gilbert, AZ

Q: What is Arizona Iom LLC's NPI number?

The NPI number for Arizona Iom LLC is 1831577139. It was assigned to this organization in the NPPES registry on May 7, 2015.

Q: What is Arizona Iom LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

Q: When was this NPI record last updated?

The NPPES record for Arizona Iom LLC was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 07, 2015

2301 WEST SANOQUE COURT, GILBERT, AZ 85298(720) 503-5711 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Arizona Iom Llc NPPES

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

ARIZONA IOM LLC (NPI 1831577139) is a healthcare organization registered as an electroneurodiagnostic in Gilbert, Arizona and active in the NPI registry since May 2015. The organization lists Matthew L. Fordyce, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1831577139

Entity TypeOrganization

Primary Taxonomy246ZE0600X

Legal Business NameARIZONA IOM LLC

Location Address2301 WEST SANOQUE COURTGilbert, AZ 85298

Mailing Address2907 Shelter Island Dr., Suite 105-612San Diego, CA 92106-2743 · (602) 734-1405

Phone(720) 503-5711

Organization SubpartNo

Authorized OfficialMatthew L. FordyceManaging Partner · (619) 458-6306

Enumeration DateMay 7, 2015

Last NPPES UpdateOctober 10, 2018

✔ NPI 1831577139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZE0600X

2301 WEST SANOQUE COURT, Gilbert, AZ 85298

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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

Other Providers at the Same Location NPPES

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

SHAY PETILLO

Specialist/Technologist, Other (Electroneurodiagnostic)

2301 WEST SANOQUE COURT
GILBERT, AZ 85298

Maricopa County (720) 503-5711

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 Iom LLC's NPI number?

The NPI number for Arizona Iom LLC is 1831577139. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is Arizona Iom LLC located?

Arizona Iom LLC is located at 2301 West Sanoque Court, Gilbert, AZ 85298. The listed phone number is (720) 503-5711.

What is Arizona Iom LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Arizona Iom LLC was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.