Pulmonary Testing Center LLC

NPI #1730316613 in Preston, Idaho

Provider Information

NPI Number
1730316613
Entity Type
Organization
Organization Name
Pulmonary Testing Center LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
Jun 17, 2009
Last Updated
Jun 17, 2009

Practice Location

Address
122 N STATE ST STE B
State
Idaho
ZIP Code
83263-1143
Phone
(208) 852-1061

Authorized Official

Name
MR. LEONARD WARD
Title
REGISTERED AGENT
Phone
(208) 852-1061

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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