Organization
PRESTIGE CARDIOPULMONARY DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A NEWCOMER RRT (OWNER)
(252) 621-1052
Entity
Organization
Contact information
Practice address
508 E MAIN ST STE 209, ELIZABETH CITY, NC 27909-4458
(252) 621-1052
Mailing address
508 E MAIN ST STE 209, ELIZABETH CITY, NC 27909-4458
(252) 621-1052
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9558523
NC
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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