Provider Demographics
NPI:1396131223
Name:INTEGRITY SOUNTHWEST INC
Entity type:Organization
Organization Name:INTEGRITY SOUNTHWEST INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-661-1311
Mailing Address - Street 1:5450 E ANDERSON DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5849
Mailing Address - Country:US
Mailing Address - Phone:480-661-1311
Mailing Address - Fax:480-661-0121
Practice Address - Street 1:9301 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6733
Practice Address - Country:US
Practice Address - Phone:480-661-1331
Practice Address - Fax:480-661-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21007729332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment