Autism Diagnostics Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AUTISM DIAGNOSTICS LAB INC

Practice address

3805 E Bell Rd Ste 4100
Phoenix, AZ 85032-2172

Phone

(888) 650-0199

Fax

(888) 804-0426

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Freedy Bruce

Title

Manager

Phone

(888) 650-0993

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1285545640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 4100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322172",
            "telephone_number": "888-650-0199",
            "fax_number": "888-804-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 4100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322172",
            "telephone_number": "888-650-0199",
            "fax_number": "888-804-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM DIAGNOSTICS LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "FREEDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-650-0993"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.