Organization
AMDX, LTD
Active
Other names
American Medical Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM BOEHLE (OWNER/PRESIDENT)
(602) 424-4450
Entity
Organization
Contact information
Practice address
2423 W DUNLAP AVE, #175, PHOENIX, AZ 85021-5818
(602) 424-4450
(602) 424-4451
Mailing address
2423 W DUNLAP AVE, #175, PHOENIX, AZ 85021-5818
(602) 424-4450
(602) 424-4451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTC4006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089896
—
AZ
Enumeration date
08/19/2006
Last updated
08/23/2013
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