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NPI 1750269692

NPI 1750269692 : INTEGRITY DRUG TESTING SERVICES LLC : ST PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1750269692
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEGRITY DRUG TESTING SERVICES LLC 
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Dates
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    Enumeration Date     |    08/26/2025
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    Last Update Date     |    08/26/2025
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Provider Practice Location Address
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    Address Line         |    7901 4TH ST N # 19546 
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33702-4305
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    Country              |    US
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    Telephone            |    813-475-4834
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    Fax                  |    866-528-1035
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Provider Business Mailing Address
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    Address Line         |    7901 4TH ST N # 19546 
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33702-4305
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    Country              |    US
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    Telephone            |    813-475-4834
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    Fax                  |    866-528-1035
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Authorized Official
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    Title or Position    |    OWNER/LAB DIRECTOR
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    Name                 |    MS. PHYLLIS  SMITH 
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    Credential           |    CLIA WAIVED
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    Telephone            |    240-350-2943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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