PRIME SOURCE TESTING NPI 1083366298

NPI Information

NPI: 1083366298
Provider Name: PRIME SOURCE TESTING
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
190 SIERRA CT STE 327
PALMDALE, CA
ZIP 93550
Phone: (337) 781-5038
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PRIME SOURCE TESTING is a public health and state or local clinic center in Palmdale, CA. PRIME SOURCE TESTING NPI is 1083366298. The provider is registered as an organization entity type.

The provider's business location address is:

190 SIERRA CT STE 327
PALMDALE, CA
ZIP 93550-619
Phone: (337) 781-5038

The provider's authorized official is David Wing .
The authorized official title is President and has the following contact phone number (337) 781-5038.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 1/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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