Healthcare Provider Details

I. General information

NPI: 1760318901
Provider Name (Legal Business Name): COMPLIANCE360 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 BESS PL
STOCKTON CA
95206-6240
US

IV. Provider business mailing address

845 BESS PL
STOCKTON CA
95206-6240
US

V. Phone/Fax

Practice location:
  • Phone: 270-492-8811
  • Fax:
Mailing address:
  • Phone: 270-492-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SYED RIZVI
Title or Position: OWNER
Credential:
Phone: 270-492-8811