Healthcare Provider Details

I. General information

NPI: 1023925369
Provider Name (Legal Business Name): INTEGRITY TESTING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST AVE NE
CAIRO GA
39828-2117
US

IV. Provider business mailing address

200 1ST AVE NE
CAIRO GA
39828-2117
US

V. Phone/Fax

Practice location:
  • Phone: 229-327-1341
  • Fax: 229-397-0149
Mailing address:
  • Phone: 229-327-1341
  • Fax: 229-397-0149

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: MS. KIARA LATIFAH COOPER
Title or Position: LAB DIRECTOR
Credential: PHLEBOTOMIST
Phone: 229-327-1341