| Prime Source Testing | |
|
190 Sierra Ct Ste 327 Palmdale CA 93550-7619 | |
| (337) 781-5038 | |
| Not Available |
| Full Name | Prime Source Testing |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 190 Sierra Ct Ste 327, Palmdale, California |
| Authorized Official Name and Position | David Wing (PRESIDENT) |
| Authorized Official Contact | 3377815038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Source Testing 190 Sierra Ct Ste 327 Palmdale CA 93550-7619 Ph: (337) 781-5038 | Prime Source Testing 190 Sierra Ct Ste 327 Palmdale CA 93550-7619 Ph: (337) 781-5038 |
| NPI Number | 1083366298 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083366298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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