Organization
PROFESSIONAL DIAGNOSTIC SERVICES, INC
Active
Other names
PDS Medical, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN UBELAKER (ACCOUNT MANAGER)
(785) 241-9666
Entity
Organization
Contact information
Practice address
2601 IOWA STREET, LAWRENCE, KS 66046
(785) 856-0909
(785) 371-4025
Mailing address
2601 IOWA ST, LAWRENCE, KS 66046-4106
(785) 856-0909
(785) 371-4025
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445480A
—
KS
01
—
118076
BC/BS PROVIDER NUMBER
KS
Enumeration date
05/20/2006
Last updated
07/21/2022
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