OrganizationActive
Arizona Iom LLC
NPI 1831577139 · Electroneurodiagnostic Specialist/Technologist · Gilbert, AZ
Provider details
- NPI number
- 1831577139
- Entity type
- Organization
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Matthew Fordyce, Managing Partner(619) 458-6306
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2301 West Sanoque Court
Gilbert, AZ 85298
Phone: (720) 503-5711
Approximate (ZIP-level) locationGet directions
Mailing address
2907 Shelter Island Dr.
San Diego, CA 92106-2743
Registry dates
- Enumerated
- 2015-05-07
- Last updated
- 2018-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.