# INTEGRATED DIAGNOSTICS LLC

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

## Provider details

- **NPI number:** 1437793775
- **Authorized official:** NAUMAN NISAR MD (OWNER/DIRECTOR)
- **Authorized official phone:** (712) 389-5242

## Contact information

- **Practice address:** 201 E 4TH ST STE 203, SOUTH SIOUX CITY, NE 68776-1706
- **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:** 10/30/2019
- **Last updated:** 10/30/2019