| Prestige Cardiopulmonary Diagnostic Services, Llc | |
|
508 E Main St Ste 209 Elizabeth City NC 27909-4458 | |
| (252) 621-1052 | |
| Not Available |
| Full Name | Prestige Cardiopulmonary Diagnostic Services, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 508 E Main St Ste 209, Elizabeth City, North Carolina |
| Authorized Official Name and Position | David A Newcomer (OWNER) |
| Authorized Official Contact | 2526211052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Cardiopulmonary Diagnostic Services, Llc 508 E Main St Ste 209 Elizabeth City NC 27909-4458 Ph: (252) 621-1052 | Prestige Cardiopulmonary Diagnostic Services, Llc 508 E Main St Ste 209 Elizabeth City NC 27909-4458 Ph: (252) 621-1052 |
| NPI Number | 1134559800 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134559800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9558523 (North Carolina) | Primary |
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