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Contact Information

ADVANCED DYSPHAGIA DIAGNOSTICS LLC
611 E STAR CT
MONTROSE, CO81401-6704
 Phone: 909-213-5967
 Fax: 509-356-4607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ADVANCED DYSPHAGIA DIAGNOSTICS LLC

NPI # 1194181206
LBN Legal business name ADVANCED DYSPHAGIA DIAGNOSTICS LLC
Authorized official KIMBERLY GEMMELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2016
Last updated 10/09/2019 - About 7 years ago
Identifiers
CO License # SLP.0000229
CO Other DW7861 RAILROAD WORKERS MEDICARE GROUP PTAN
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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