PULMONARY TESTING CENTER LLC (NPI# 1730316613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730316613 |
| Entity Type | Organization |
| Organization Name | PULMONARY TESTING CENTER LLC |
| Practice Address |
122 N State St Ste B Preston ID 83263-1143 |
| Practice Telephone | 2088521061 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | MR. LEONARD WARD (REGISTERED AGENT) |
| Authorized Official Telephone | 2088521061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
122 N STATE ST STE B |
| City | PRESTON |
| State | ID |
| Zip Code | 83263-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1881945921 | Michael David Earley | Chiropractor | 645 N State St, Preston, ID 83263 | 2012-09-28 |
| 1184872632 | Joel Thomas Webb | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2008-09-08 |
| 1245490390 | Daniel Yugi Patten | Family Medicine | 47 N. 1st E., Preston, ID 83263 | 2008-06-12 |
| 1144313610 | Tifani Waechtler | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-02 |
| 1215035969 | Larry's Family Pharmacy, Inc. | Pharmacist | 217 South State St., Preston, ID 83263 | 2006-09-20 |
| 1801909122 | David Bradley Beckstead | Family Medicine | 41 North 1 East, Preston, ID 83263 | 2006-08-17 |
| 1922022482 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 North 100 East, Preston, ID 83263 | 2006-07-27 |
| 1780979914 | Stuart G Knapp | Family Medicine | 47 N 1st E, Preston, ID 83263 | 2011-06-15 |
| 1104135326 | Chantee I Wyatt | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2010-10-05 |
| Find all providers in zip 83263 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063807626 | Clearview Ultrasound Inc. | Physiological Laboratory | 16670 Ustick Rd, Caldwell, ID 83607-9611 | 2015-03-31 |
| 1881649234 | Mri Mobile Holdings Limited Partnership | Physiological Laboratory | 1512 12th Avenue Road, Nampa, ID 83686-6008 | 2006-05-24 |
| 1679958896 | Schryver Medical Sales and Marketing, LLC | Physiological Laboratory | 2399 S Orchard St, Suite 105, Boise, ID 83705-3793 | 2015-07-29 |
| 1699784413 | Teton Cardiovascular and Pulmonary Lab,llc | Physiological Laboratory | 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 | 2006-08-08 |
| 1265489785 | Diagnostic Health Corporation | Physiological Laboratory | 8800 W Emerald St, Boise, ID 83704-8205 | 2006-05-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.