Duramed Medical Services
Physiological Laboratory in Madison, FL. Organization (NPI-2).
NPI number1124159728
StatusActive
Last updated in NPPESFeb 13, 2012
Details
- NPI
- 1124159728
- Entity type
- Organization (NPI-2)
- Legal business name
- Duramed Medical Services
- Organization subpart
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Feb 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | HCC4268 | FL | Yes |
Other names
- Sleep Laboratory (Other Name)
Practice location
289 Sw Range AveSte D
Madison, FL 32340
Phone 850-973-8116 · Fax 850-973-8118
Mailing address
602 Ne Blue Ridge Landing AveLee, FL 32059
Phone 850-973-8116 · Fax 850-973-8118
Authorized official
Bishop Lee McMiller
Proprietor
8509738116
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