Provider Demographics
NPI:1609600311
Name:INTEGRIT LABS, LLC
Entity type:Organization
Organization Name:INTEGRIT LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:THALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-777-7761
Mailing Address - Street 1:13201 N 35TH AVE STE 3B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-1231
Mailing Address - Country:US
Mailing Address - Phone:602-777-7761
Mailing Address - Fax:602-777-7116
Practice Address - Street 1:13201 N 35TH AVE STE 3B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-1231
Practice Address - Country:US
Practice Address - Phone:602-777-7761
Practice Address - Fax:602-777-7116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathologyGroup - Single Specialty