Provider Demographics
NPI:1952779746
Name:INTEGRITY LAB SOLUTIONS LLC
Entity Type:Organization
Organization Name:INTEGRITY LAB SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:561-628-0668
Mailing Address - Street 1:160 CONGRESS PARK DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4724
Mailing Address - Country:US
Mailing Address - Phone:561-628-0668
Mailing Address - Fax:561-501-5129
Practice Address - Street 1:160 CONGRESS PARK DR
Practice Address - Street 2:SUITE 110
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4724
Practice Address - Country:US
Practice Address - Phone:561-628-0668
Practice Address - Fax:561-501-5129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory