Provider Demographics
NPI:1134305295
Name:RESPIRATORY DIAGNOSTIC SERVICES LLC
Entity type:Organization
Organization Name:RESPIRATORY DIAGNOSTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-688-3709
Mailing Address - Street 1:PO BOX 40123
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-0123
Mailing Address - Country:US
Mailing Address - Phone:727-688-3709
Mailing Address - Fax:727-522-3432
Practice Address - Street 1:6320 39TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-6070
Practice Address - Country:US
Practice Address - Phone:727-688-3709
Practice Address - Fax:727-522-3432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory