Organization Active NPI

Integrated Technical Services

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1538430772
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME30779 Issued in FL
Legal business name
INTEGRATED TECHNICAL SERVICES
Practice address
999 Yamato Rd Ste 210
Boca Raton, FL 33431-4476
Phone
(888) 395-4007
Fax
(888) 395-3941
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Russell Packard, MD
Title
Director
Phone
(888) 395-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME30779 FL Primary

Addresses

Primary practice location

999 Yamato Rd Ste 210
Boca Raton, FL 33431-4476

Mailing address

999 Yamato Rd Ste 210
Boca Raton, FL 33431-4476
Phone (888) 395-4007

National Provider Directory

National Provider Directory
Tax ID family
Integrated Technical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1538430772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 YAMATO RD STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314476",
            "telephone_number": "888-395-4007",
            "fax_number": "888-395-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 YAMATO RD STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314476",
            "telephone_number": "888-395-4007",
            "fax_number": "888-395-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED TECHNICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-395-4007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME30779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.