Organization Active NPI

Integra Diagnostics

  • Clinical Medical Laboratory
  • Saint Petersburg, FL
National Provider Identifier
1124976907
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INTEGRA DIAGNOSTICS
Practice address
3901 66TH St N Ste 101
Saint Petersburg, FL 33709-4949
Phone
(727) 214-4622
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Patrick BengstonNPI 1770177446
Title
Owner
Phone
(727) 214-4622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3901 66TH St N Ste 101
Saint Petersburg, FL 33709-4949

Mailing address

3901 66TH St N Ste 101
Saint Petersburg, FL 33709-4949

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2342026Integra Diagnostics LLC3901 66TH Street North, Saint Petersburg, FL 33709RegistrationApr 12, 2028

National Provider Directory

National Provider Directory

Locations

3901 66th St N
Ste 101
St Petersburg, FL 33709
Phone (727) 214-4622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1124976907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 66TH ST N STE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337094949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 66TH ST N STE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337094949",
            "telephone_number": "727-214-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "BENGSTON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-214-4622"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.