Pulmonary Diagnostic Testing LLC

Primary specialty

Cardiopulmonary Physical TherapistTaxonomy code 2251C2600X

License

002396 Issued in GA

Legal business name

PULMONARY DIAGNOSTIC TESTING LLC

Practice address

3616 Steve Reynolds Blvd
Ste. 11
Duluth, GA 30096-5529

Phone

(770) 935-1672

Fax

(770) 935-1682

NPI assigned

Jan 16, 2007

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurence Dwight Cox, RRT, CPFT

Title

Ceo

Phone

(770) 935-1672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1770634537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 STEVE REYNOLDS BLVD",
            "address_2": "STE. 11",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965529",
            "telephone_number": "770-935-1672",
            "fax_number": "770-935-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 STEVE REYNOLDS BLVD",
            "address_2": "STE. 11",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965529",
            "telephone_number": "770-935-1672",
            "fax_number": "770-935-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY DIAGNOSTIC TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-935-1672",
        "authorized_official_credential": "RRT, CPFT"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "GA",
            "license": "002396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.