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General NPI Number Information
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NPI Number | 1356136238
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Entity Type | Organization
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Legal Business Name | 1ST INTEGRITY LAB SOLUTION
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 801 S RANCHO DR STE F1
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City | LAS VEGAS
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State | NV
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Zip | 89106-3814
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Country | US
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Telephone | 702-580-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S RANCHO DR STE F1
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City | LAS VEGAS
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State | NV
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Zip | 89106-3814
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Country | US
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Telephone | 702-580-7997
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE GARALDE WALKER
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Credential | NURSE PRACTITIONER
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Telephone | 702-580-7997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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