Pulmonary Testing Center LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PULMONARY TESTING CENTER LLC

Practice address

122 N State St Ste B
Preston, ID 83263-1143

Phone

(208) 852-1061

NPI assigned

Jun 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Leonard Ward

Title

Registered Agent

Phone

(208) 852-1061

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1730316613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N STATE ST STE B",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N STATE ST STE B",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631143",
            "telephone_number": "208-852-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY TESTING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "208-852-1061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Preston, ID
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.