Healthcare Provider Details
I. General information
NPI: 1598599482
Provider Name (Legal Business Name): INTEGRITY LAB SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2024
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2166 SHAW AVE
CLOVIS CA
93611-8901
US
IV. Provider business mailing address
1151 PRESCOTT AVE
CLOVIS CA
93619-7541
US
V. Phone/Fax
- Phone: 559-862-9863
- Fax:
- Phone: 559-862-8636
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAVDEEP
GILL
Title or Position: CEO
Credential: MD
Phone: 559-862-8636