Provider Demographics
NPI:1184929150
Name:ADVANCED HOME PULMONARY DIAGNOSTICS LLC.
Entity type:Organization
Organization Name:ADVANCED HOME PULMONARY DIAGNOSTICS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRUPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:614-917-9672
Mailing Address - Street 1:101 GREENSTICK WAY
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-1338
Mailing Address - Country:US
Mailing Address - Phone:614-917-9672
Mailing Address - Fax:740-967-0302
Practice Address - Street 1:101 GREENSTICK WAY
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43031-1338
Practice Address - Country:US
Practice Address - Phone:614-917-9672
Practice Address - Fax:740-967-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH91782278P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary DiagnosticsGroup - Single Specialty