Provider Demographics
NPI:1356136238
Name:1ST INTEGRITY LAB SOLUTION
Entity type:Organization
Organization Name:1ST INTEGRITY LAB SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:GARALDE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:702-580-7997
Mailing Address - Street 1:801 S RANCHO DR STE F1
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3814
Mailing Address - Country:US
Mailing Address - Phone:702-580-7997
Mailing Address - Fax:
Practice Address - Street 1:801 S RANCHO DR STE F1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3814
Practice Address - Country:US
Practice Address - Phone:702-580-7997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory