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Organization
LEADING RESPIRATORY SERVICES INC.
Active
Organization
LEADING RESPIRATORY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP WAYNE SANDLIN (CEO PRESIDENT)
(740) 259-0199
Entity
Organization
Contact information
Practice address
213 MARION PIKE, COAL GROVE, OH 45638-3165
(740) 534-0648
(740) 534-0649
Mailing address
213 MARION PIKE, COAL GROVE, OH 45638-3165
(740) 534-0648
(740) 534-0649
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
021035750
OH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
021035750
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
021035750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278277
ANTHEM
—
05
—
2555784
—
OH
01
—
5239089
AETNA
—
05
—
6205030000
—
WV
05
—
90272097
—
KY
Enumeration date
08/18/2006
Last updated
11/30/2010
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