Provider Demographics
NPI:1750702593
Name:INTEGRAL STAFFING AGENCY
Entity type:Organization
Organization Name:INTEGRAL STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLATCHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-703-3348
Mailing Address - Street 1:11903 MAIN ST
Mailing Address - Street 2:UNIT 367, UNIT 14
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7326
Mailing Address - Country:US
Mailing Address - Phone:866-703-3348
Mailing Address - Fax:866-485-6394
Practice Address - Street 1:11903 MAIN ST
Practice Address - Street 2:UNIT 367, UNIT 14
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7326
Practice Address - Country:US
Practice Address - Phone:866-703-3348
Practice Address - Fax:866-485-6394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory