{"npi":"1487087003","type":"NPI-2","status":"active","name":{"display":"Integralabs Mdg Incorporated","other":[],"organization_name":"INTEGRALABS MDG INCORPORATED","authorised_official":"Reynaldo Martinez"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":"TN","license":"44D2061419"}]},"addresses":[{"purpose":"LOCATION","street_1":"2175 HWY 75","city":"BLOUNTVILLE","state":"TN","postal_code":"37617","country_code":"US","street_2":"STE #6","phone":"4233280527","fax":"4233283027"},{"purpose":"MAILING","street_1":"PO BOX 1736","city":"BRISTOL","state":"VA","postal_code":"242031736","country_code":"US","phone":"4233283026","fax":"4233283027"}],"license":{"state":"TN","number":"44D2061419"},"identifiers":[{"type_code":"01","label":"Other","value":"44D2061419","state":"TN","issuer":"CLIA"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-08-19","last_updated":"2024-01-29","_meta":{"source":"NPPES","snapshot_date":"2024-01-29","doc_url":"https://findmynpi.com/api"}}