Organization
PULMONARY TESTING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD WARD (REGISTERED AGENT)
(208) 852-1061
Entity
Organization
Contact information
Practice address
122 N STATE ST STE B, PRESTON, ID 83263-1143
(208) 852-1061
Mailing address
122 N STATE ST STE B, PRESTON, ID 83263-1143
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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