Integra Diagnostics
Clinical Medical Laboratory in Saint Petersburg, FL. Organization (NPI-2).
NPI number1124976907
StatusActive
Last updated in NPPESMar 18, 2026
Details
- NPI
- 1124976907
- Entity type
- Organization (NPI-2)
- Legal business name
- Integra Diagnostics
- Organization subpart
- No
- Enumeration date
- Mar 18, 2026
- Certification date
- Mar 18, 2026
- Last updated
- Mar 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
3901 66th St N Ste 101Saint Petersburg, FL 33709-4949
Phone 727-214-4622
Mailing address
3901 66th St N Ste 101Saint Petersburg, FL 33709-4949
Authorized official
Patrick Bengston
Owner
7272144622
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