Duramed Medical Services
Organization Active NPI Physiological Laboratory · Madison, FL
NPI 1124159728 · NPPES record last updated Feb 13, 2012
Key facts
- NPI
- 1124159728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physiological Laboratory 293D00000X
- License
- HCC4268 (FL)
- Legal business name
- DURAMED MEDICAL SERVICES
- Practice address
- 289 SW Range Ave
Ste D
Madison, FL 32340 - Phone
- (850) 973-8116
- Fax
- (850) 973-8118
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Bishop Lee McMiller, RRT REGISTERED RESPI
- Title
- Proprietor
- Phone
- (850) 973-8116
National Provider Directory
Locations
289 SW Range Ave
Ste D
Madison, FL 32340
Phone (850) 973-8116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | HCC4268 | FL | Yes |
Addresses
Primary practice location
289 SW Range Ave
Ste D
Madison, FL 32340
Mailing address
602 NE Blue Ridge Landing Ave
Lee, FL 32059
Phone (850) 973-8116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V1655 | Other | FL | BCBS |
| V3152 | Other | FL | BCBS |
Other names
- Sleep Laboratory
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All providers in Madison, FL · Physiological Laboratory in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.