Prime Source Testing

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

PRIME SOURCE TESTING

Doing business as

PS Testing

Practice address

190 Sierra CT Ste 327
Palmdale, CA 93550-7619

Phone

(337) 781-5038

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

David Wing

Title

President

Phone

(337) 781-5038

Specialties & licenses 1

Addresses

Other names 1

• PS Testing Doing business as

Locations

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1083366298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT STE 327",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507619",
            "telephone_number": "337-781-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT STE 327",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507619",
            "telephone_number": "337-781-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SOURCE TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "WING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-781-5038"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PS Testing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melinda Ann Price
• Roberta Price, LVN
• Tristen Marie Price, FNP-C
• Maribel Prieto
• Prime Medical Resources, Inc. (Prime Orthopedics, Prime Electro Care, Prime Surgical Care)
• Priority Care
• Prioritycare Healthcare Services LLC
• Prioritycare Professional Home Health
• Prithviraj Dharmaraja, MD, Inc.
• Private Passion Elderly Care

• State or Local Public Health Clinic/Center in Palmdale, CA
• Providers in Palmdale, CA by specialty
• State or Local Public Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.