Provider Demographics
NPI:1942301197
Name:PULMONARY STUDIES INC
Entity Type:Organization
Organization Name:PULMONARY STUDIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PERCH
Authorized Official - Suffix:JR
Authorized Official - Credentials:RRT
Authorized Official - Phone:239-437-6500
Mailing Address - Street 1:6325 PRESIDENTIAL CT
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-3515
Mailing Address - Country:US
Mailing Address - Phone:239-437-6500
Mailing Address - Fax:239-437-9760
Practice Address - Street 1:6325 PRESIDENTIAL CT
Practice Address - Street 2:SUITE 2
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-3515
Practice Address - Country:US
Practice Address - Phone:239-437-6500
Practice Address - Fax:239-437-9760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL800001932291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
10D0870680OtherCMS CLIA NUMBER
10D0870680OtherCMS CLIA NUMBER