Organization
INJURY DIAGNOSTICS LLC
Active
Other names
IDX
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RHODES FNP-BC (MANAGING MEMBER)
(480) 542-5590
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE STE B301, PHOENIX, AZ 85029-4618
(480) 542-5590
(480) 542-5591
Mailing address
3201 W PEORIA AVE STE B301, PHOENIX, AZ 85029-4618
(480) 542-5590
(480) 542-5591
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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