Provider Demographics
NPI:1689244808
Name:INTEGRITY DIAGNOSTIC LABORATORIES
Entity Type:Organization
Organization Name:INTEGRITY DIAGNOSTIC LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:HUONG
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:CLS
Authorized Official - Phone:213-663-3477
Mailing Address - Street 1:6216 E PACIFIC COAST HWY # 69
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4867
Mailing Address - Country:US
Mailing Address - Phone:714-248-7044
Mailing Address - Fax:
Practice Address - Street 1:9746 WESTMINSTER AVE STE D1
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-2984
Practice Address - Country:US
Practice Address - Phone:714-248-7044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Single Specialty