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ADVANCED DIAGNOSTICS NETWORK INC. NPI 1508057662


NPI Information

NPI: 1508057662
Provider Name: ADVANCED DIAGNOSTICS NETWORK INC.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 03D1037447

Address:
13260 N 94TH DR STE 203
PEORIA, AZ
ZIP 85381
Phone: (623) 876-1860
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ADVANCED DIAGNOSTICS NETWORK INC. is a preferred provider organization in Peoria, AZ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ADVANCED DIAGNOSTICS NETWORK INC. NPI is 1508057662. The provider is registered as an organization entity type.

The provider's business location address is:

13260 N 94TH DR STE 203
PEORIA, AZ
ZIP 85381-240
Phone: (623) 876-1860

The provider's authorized official is Kurt A. Grutsch .
The authorized official title is President and has the following contact phone number (623) 876-1860.

The CLIA number assigned to this NPI record is 03D1037447 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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