Integrity Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTEGRITY DIAGNOSTICS LLC

Practice address

12855 N 40 Dr Ste 345
Saint Louis, MO 63141-8622

Phone

(304) 657-9011

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Derek Andrew Pagan

Title

Cio

Phone

(304) 657-9011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1316407265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 PALM BEACH LAKES BLVD STE 1010",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012218",
            "telephone_number": "304-657-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 345",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418622",
            "telephone_number": "304-657-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "304-657-9011"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.