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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI Number | 1205422367 |
| LBN Legal business name | ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC |
| Authorized official | JEFF BROUWER - (MANAGING MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/14/2020 |
| Last updated | 12/15/2020 - About 5 years ago |
| Identifiers | n/a |
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ARIZONA INDEPENDENT DIAGNOSTIC TESTING FACILITY PLLC