Organization
PERSONAL SPACE TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN L YOUNG PARAMEDIC (FIELD OPERATIONS EXECUTIVE)
(310) 999-9824
Entity
Organization
Contact information
Practice address
25657 PINE CREEK LN, WILMINGTON, CA 90744-1823
(310) 999-9824
Mailing address
PO BOX 437, HARBOR CITY, CA 90710-0437
(310) 999-9824
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us