# INTEGRATED DIAGNOSTICS

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

## Provider details

- **NPI number:** 1437704251
- **Authorized official:** NAUMAN NISAR MD (DIRECTOR/OWNER)
- **Authorized official phone:** (712) 389-5242

## Contact information

- **Practice address:** 201 EAST 4TH STREET, SUITE 203, SOUTH SIOUX CITY, NE 68776
- **Practice address phone:** (712) 389-5242
- **Mailing address:** 425 BAYHILL CIR, DAKOTA DUNES, SD 57049-5092
- **Mailing address phone:** (712) 389-5242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 08/08/2019