Healthcare Provider Details

I. General information

NPI: 1780027920
Provider Name (Legal Business Name): PINNACLE TESTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 S MILITARY TRL SUITE 202
DELRAY BEACH FL
33484-2600
US

IV. Provider business mailing address

PO BOX 732386
DALLAS TX
75373-2386
US

V. Phone/Fax

Practice location:
  • Phone: 561-501-5260
  • Fax:
Mailing address:
  • Phone: 561-501-5260
  • Fax: 954-982-6648

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: THOMAS HASSON
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 561-237-5306