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PULMONARY DIAGNOSTIC TESTING LLC NPI 1770634537


NPI Information

NPI: 1770634537
Provider Name: PULMONARY DIAGNOSTIC TESTING LLC
Classification: Physical Therapist - 2251C2600X
Entity Type: Organization

Specialization: Cardiopulmonary

Address:
3616 STEVE REYNOLDS BLVD
STE. 11
DULUTH, GA
ZIP 30096
Phone: (770) 935-1672
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PULMONARY DIAGNOSTIC TESTING LLC is a cardiopulmonary physical therapist in Duluth, GA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma. PULMONARY DIAGNOSTIC TESTING LLC NPI is 1770634537. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3616 STEVE REYNOLDS BLVD
STE. 11
DULUTH, GA
ZIP 30096-529
Phone: (770) 935-1672
Fax: (770) 935-1682

The provider's authorized official is Laurence Dwight Cox .
The authorized official title is Ceo and has the following contact phone number (770) 935-1672.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 11/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251C2600XPhysical TherapistCardiopulmonary002396GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15903870001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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