Organization
PRIME SOURCE TESTING
Active
Other names
PS Testing
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WING (PRESIDENT)
(337) 781-5038
Entity
Organization
Contact information
Practice address
190 SIERRA CT STE 327, PALMDALE, CA 93550-7619
(337) 781-5038
Mailing address
190 SIERRA CT STE 327, PALMDALE, CA 93550-7619
(337) 781-5038
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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