Provider Demographics
NPI:1821301342
Name:RESPIRATORY DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:RESPIRATORY DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:REDDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-678-1843
Mailing Address - Street 1:11004 E 40 HWY
Mailing Address - Street 2:SUITE 124
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11004 E 40 HWY
Practice Address - Street 2:SUITE 124
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6023
Practice Address - Country:US
Practice Address - Phone:816-678-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC1073084293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory