# PERSONAL SPACE TESTING EAST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174276844
- **Authorized official:** AUSTIN L YOUNG (CEO)
- **Authorized official phone:** (310) 999-9824

## Contact information

- **Practice address:** 99 WALL ST STE 3350, NEW YORK, NY 10005-4301
- **Practice address phone:** (310) 999-9824
- **Mailing address:** 1212 STANFORD AVE STE 106, LOS ANGELES, CA 90021-2157
- **Mailing address phone:** (310) 999-9824
- **Mailing address fax:** (310) 861-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/01/2022
- **Last updated:** 02/01/2022