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PORTABLE PULMONARY DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA LYNN SANDOVAL (OWNER MANAGER)
(702) 298-3355
Entity
Organization

Contact information

Practice address
3333 PARTRIDGE RUN ST, LAUGHLIN, NV 89029-0266
(702) 298-3355
Mailing address
3333 PARTRIDGE RUN ST, LAUGHLIN, NV 89029-0266
(702) 298-3355

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/21/2006
Last updated
08/14/2008
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