Organization
INTEGRATED DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET OBRIEN (OWNER)
(602) 614-7187
Entity
Organization
Contact information
Practice address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
(602) 614-7187
Mailing address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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