Organization
LEADING RESPIRATORY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP WAYNE SANDLIN (CEO PRESIDENT)
(740) 259-0199
Entity
Organization
Contact information
Practice address
75 SOUTH MAIN ST, PEEBLES, OH 45660-1143
(937) 587-3384
(937) 587-8022
Mailing address
75 SOUTH MAIN ST, PEEBLES, OH 45660-1143
(937) 587-3384
(937) 587-8022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
021035750
OH
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
021035750
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
021035750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278277
OPERATING ENGINEERS
OH
01
—
000000278277
ANTHEM
—
05
—
0114852
—
OH
01
—
5239089
AETNA
—
05
—
6205030000
—
WV
05
—
90272097
—
KY
Enumeration date
08/03/2006
Last updated
11/30/2010
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