Healthcare Provider Details

I. General information

NPI: 1013827021
Provider Name (Legal Business Name): ARENSIA EXPLORATORY MEDICINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6707 N 19TH AVE STE 201
PHOENIX AZ
85015-1106
US

IV. Provider business mailing address

6707 N 19TH AVE STE 201
PHOENIX AZ
85015-1106
US

V. Phone/Fax

Practice location:
  • Phone: 602-693-1183
  • Fax: 602-325-0538
Mailing address:
  • Phone: 602-693-1183
  • Fax: 602-325-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIANA JOSEPH
Title or Position: CLINIC ADMINISTRATOR
Credential:
Phone: 480-329-4524