Provider Demographics
NPI:1255572897
Name:HIGHER SYSTEMS DIAGNOSTICS
Entity type:Organization
Organization Name:HIGHER SYSTEMS DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:G
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-253-0202
Mailing Address - Street 1:650 PARK ST
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-1470
Mailing Address - Country:US
Mailing Address - Phone:570-253-0202
Mailing Address - Fax:570-253-1701
Practice Address - Street 1:650 PARK ST
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-1470
Practice Address - Country:US
Practice Address - Phone:570-253-0202
Practice Address - Fax:570-253-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00939332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment