INTEGRITY DIAGNOSTIC LAB LLC NPI 1902518806

NPI Information

NPI: 1902518806
Provider Name: INTEGRITY DIAGNOSTIC LAB LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1505 NORTHPARK BLVD APT J107
SAN BERNARDINO, CA
ZIP 92407
Phone: (213) 973-9919
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INTEGRITY DIAGNOSTIC LAB LLC is a health service clinic center in San Bernardino, CA. INTEGRITY DIAGNOSTIC LAB LLC NPI is 1902518806. The provider is registered as an organization entity type.

The provider's business location address is:

1505 NORTHPARK BLVD APT J107
SAN BERNARDINO, CA
ZIP 92407-389
Phone: (213) 973-9919

The provider's authorized official is Kamilah Joleen Hamilton .
The authorized official title is Owner and has the following contact phone number (773) 425-2046.

The enumeration date for this NPI number is 12/22/2022 and was last updated on 12/22/2022.

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	261QH0100X	Clinic/Center	Health Service			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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