Ethereal Diagnostics & Services Llc

LBN: Ethereal Diagnostics & Services Llc
Ethereal Diagnostics & Services Llc is an health care organization with primary practice located at 100 N Patterson St Ste A , Valdosta GA 31601-5570. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Ethereal Diagnostics & Services Llc can be contacted via phone (877) 586-2971, or through Robinson, Porsha Terell via phone (877) 586-2971.

Contact Information

Primary practice address
100 N Patterson St Ste A Valdosta GA 31601-5570
Phone: (877) 586-2971
Fax: (866) 703-1440
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Porsha Terell Registered Nurse (RN)
Phone: (877) 586-2971

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1629822259
LBN Legal business name Ethereal Diagnostics & Services Llc
DBA Doing business as
Authorized official Robinson, Porsha Terell Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2024
Last updated Apr 11th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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