Organization
HUEDO DIAGNOSTICS DME, LLC
Active
Organization
HUEDO DIAGNOSTICS DME, LLC
Active
Parent organization
HUEDO DIAGNOSTICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUEDO DIAGNOSTICS, LLC
Authorized official
MR. RAYFORD GARY JOHNSON BS, RRT, RPSGT (CHIEF EXECUTIVE OFFICER)
(423) 283-1003
Entity
Organization
Contact information
Practice address
100 W SPRINGBROOK DR, JOHNSON CITY, TN 37604-1716
(423) 283-1003
(423) 283-1007
Mailing address
100 W SPRINGBROOK DR, JOHNSON CITY, TN 37604-1716
(423) 283-1003
(423) 283-1007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0556056
TN
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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