PULMONARY DIAGNOSTIC SERVICES LLC
NPI 1497099683
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Vicksburg, MS

Active since November 12, 2012
114 MONUMENT PL, VICKSBURG, MS 39180(601) 636-9064 Get Directions Write a Review

NPPES record last updated: November 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...

About PULMONARY DIAGNOSTIC SERVICES LLC

This page provides the complete NPI Profile along with additional information for Pulmonary Diagnostic Services Llc, a provider established in Vicksburg, Mississippi operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1497099683 assigned on November 2012. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Kristy Burke-gullett Rrt, Rpsgt (Owner)

NPI
1497099683 Verify this NPI
Provider Name
PULMONARY DIAGNOSTIC SERVICES LLC
Entity Type
Organization
Location Address
114 MONUMENT PL VICKSBURG, MS 39180
Location Phone
(601) 636-9064
Mailing Address
440 DOGWOOD LAKE DR VICKSBURG, MS 39183
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2012
Last Update Date
11-12-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTY BURKE-GULLETT RRT, RPSGT

Authorized Official Title
OWNER
Authorized Official Phone
(601) 218-6300

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
N/AOTHER (01)MSNOT REQUIRED AT THIS TIME

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
114 MONUMENT PL, SUITE B
VICKSBURG, MS 39180
Respiratory Therapist, Registered
114 MONUMENT PL
VICKSBURG, MS 39180
Internal Medicine (Pulmonary Disease)
114 MONUMENT PL, SUITE B
VICKSBURG, MS 39180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497099683, enumerated as an "organization" on November 12, 2012.

The provider is located at 114 MONUMENT PL VICKSBURG, MS 39180 and the phone number is (601) 636-9064.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.