National Provider Identifier Database

PULMONARY DIAGNOSTIC SERVICES LLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

PULMONARY DIAGNOSTIC SERVICES LLC
114 MONUMENT PL
VICKSBURG, MS39180-5169
Phone: 601-636-9064
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for PULMONARY DIAGNOSTIC SERVICES LLC

NPI Number 1497099683
Legal business name
LBN
PULMONARY DIAGNOSTIC SERVICES LLC
Authorized official KRISTY BURKE-GULLETT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/12/2012
Last updated 11/12/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Other: N/A NOT REQUIRED AT THIS TIME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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