Integrated Diagnostics LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

INTEGRATED DIAGNOSTICS LLC

Practice address

201 E 4TH St Ste 203
South Sioux City, NE 68776-1706

Phone

(712) 389-5242

NPI assigned

Oct 30, 2019

Last updated

Oct 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nauman Nisar, MD

Title

Owner/Director

Phone

(712) 389-5242

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1437793775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BAYHILL CIR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495092",
            "telephone_number": "712-389-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 4TH ST STE 203",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687761706",
            "telephone_number": "712-389-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "NISAR",
        "authorized_official_first_name": "NAUMAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "712-389-5242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juana I Hurtado
• Brenda Lee Husman
• Hy-Vee
• Hy-Vee Inc (Hy-Vee Pharmacy (1620))
• Integrated Diagnostics
• Brenda Irwin
• Mayra Iturbide Magana
• Jennifer Jo-Jividen Jackson, LIMHP, LMHP, LPC
• Ryan Michael Jackson, PHARM.D
• Lori Jacobs

• Anatomic Pathology & Clinical Pathology Physician in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Anatomic Pathology & Clinical Pathology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.