Intire Tox Screen

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTIRE TOX SCREEN

Practice address

517 N Carrier Pkwy Ste H
Grand Prairie, TX 75050-5464

Phone

(214) 677-0639

Fax

(214) 677-0532

NPI assigned

Jul 18, 2014

Organization subpart

No

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

Authorized official

Name

Miguel Delbosque

Title

Owner

Phone

(469) 826-4294

Specialties & licenses 1

Addresses

Other names 1

• Intire DIagnostic Laboratories Doing business as

Locations

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1376950667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY STE H",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505464",
            "telephone_number": "214-677-0639",
            "fax_number": "214-677-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY STE H",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505464",
            "telephone_number": "214-677-0639",
            "fax_number": "214-677-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIRE TOX SCREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "DELBOSQUE",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-826-4294"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intire DIagnostic Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Institute for Health Evaluation and Research Unlimited LLC
• Rina Inta, RD,LD
• Integra Specialty Group, PA
• Intertwined Senior Care, LLC
• Intire Health Physician Group
• Immaculata Eme Inyang, FNP
• Iocck Healthcare Services, LLC
• Oluwakemi Mausi Ipinlaye
• Irenee a. Lebuabanga
• Akhere Isenalumhe, PMHNP-BC

• Clinical Medical Laboratory in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.