PULMONARY DIAGNOSTIC SERVICES LLC; NPI #1497099683

Contact Information

PULMONARY DIAGNOSTIC SERVICES LLC

114 MONUMENT PL
VICKSBURG, MS 39180-5169

Phone: 601-636-9064
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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NPI Profile & details for PULMONARY DIAGNOSTIC SERVICES LLC

NPI # 1497099683

LBN Legal business name PULMONARY DIAGNOSTIC SERVICES LLC

Authorized official KRISTY BURKE-GULLETT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/12/2012

Last updated 11/12/2012 - About 14 years ago

Identifiers

Other

N/A

NOT REQUIRED AT THIS TIME

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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