Provider Demographics
NPI:1225394406
Name:RESPIRATORY DIAGNOSTICS AND THERAPEUTICS LLC
Entity Type:Organization
Organization Name:RESPIRATORY DIAGNOSTICS AND THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-807-7560
Mailing Address - Street 1:4581 WESTON RD
Mailing Address - Street 2:#127
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3141
Mailing Address - Country:US
Mailing Address - Phone:619-807-7560
Mailing Address - Fax:
Practice Address - Street 1:19165 S HIBISCUS ST
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33332-4416
Practice Address - Country:US
Practice Address - Phone:619-807-7560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87748207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty