Provider Demographics
NPI:1245991603
Name:INNOVATIVE TESTING SERVICES, LLC
Entity type:Organization
Organization Name:INNOVATIVE TESTING SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-498-2862
Mailing Address - Street 1:14800 FRYE RD FL 2
Mailing Address - Street 2:ATTN: NOMI HEALTH & 735865
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76155-2732
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1141 E 3900 S STE 150
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1268
Practice Address - Country:US
Practice Address - Phone:385-375-6419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOMI HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-06
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251K00000XAgenciesPublic Health or Welfare