Provider Demographics
NPI:1780671669
Name:RESPIRATORY SERVICES, INC.
Entity Type:Organization
Organization Name:RESPIRATORY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:SUPREAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
Authorized Official - Phone:985-643-3198
Mailing Address - Street 1:59038 AMBER ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5334
Mailing Address - Country:US
Mailing Address - Phone:985-643-3198
Mailing Address - Fax:985-781-7097
Practice Address - Street 1:59038 AMBER ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5334
Practice Address - Country:US
Practice Address - Phone:985-643-3198
Practice Address - Fax:985-781-7097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0393041332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB7289OtherBCBS OF LA DME PROVIDER
LA1964263Medicaid
LAB7289OtherBCBS OF LA DME PROVIDER