Organization
ATLANTIC DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PEREIRA (MANAGING MEMBER)
(662) 469-3000
Entity
Organization
Contact information
Practice address
165 W SOUTH STREET, SUITE 202, HERNANDO, MS 38632-2266
(855) 717-6838
(888) 371-4191
Mailing address
1785 NONCONNAH BOULEVARD, SUITE 107, MEMPHIS, TN 38132-2140
(662) 449-8200
(888) 891-3929
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
01/28/2014
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