Provider Demographics
NPI:1912290800
Name:HOME RESPIRATORY DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:HOME RESPIRATORY DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRACHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-307-9868
Mailing Address - Street 1:206 CHURCHILL DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-8307
Mailing Address - Country:US
Mailing Address - Phone:704-213-2304
Mailing Address - Fax:
Practice Address - Street 1:206 CHURCHILL DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-8307
Practice Address - Country:US
Practice Address - Phone:704-213-2304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory