OrganizationActive
Advanced Diagnostics Network Inc.
NPI 1508057662 · Preferred Provider Organization · Peoria, AZ
Provider details
- NPI number
- 1508057662
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kurt Grutsch, President(623) 876-1860
Specialties & taxonomies
Managed Care Organizations
Practice location
13260 N 94th Dr Ste 203
Peoria, AZ 85381-4240
Phone: (623) 876-1860
Approximate (ZIP-level) locationGet directions
Mailing address
13260 N 94th Dr Ste 203
Peoria, AZ 85381-4240
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2007-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.