Provider Demographics
NPI:1710457015
Name:PEAK PULMONARY SERVICES LLC
Entity Type:Organization
Organization Name:PEAK PULMONARY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOHDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-440-6650
Mailing Address - Street 1:1447 BLUE JAY CT
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-8353
Mailing Address - Country:US
Mailing Address - Phone:866-440-6650
Mailing Address - Fax:
Practice Address - Street 1:1447 BLUE JAY CT
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-8353
Practice Address - Country:US
Practice Address - Phone:866-440-6650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory