Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Independent Diagnostic Testing Facility PLLC

Organization Physiological Laboratory · NPI 1205422367

Arizona Independent Diagnostic Testing Facility PLLC is a Physiological Laboratory in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8618 N 35th Ave Ste 3
Phoenix, AZ 85051-3800
Phone: (602) 821-4517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1205422367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Brouwer — Managing Member · (602) 821-4517
NPI enumeratedDecember 14, 2020
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address8660 S Peoria Ave, Tulsa, OK 74132-2827

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