Provider Demographics
NPI:1366896185
Name:LUNG INSTITUTE, LLC
Entity type:Organization
Organization Name:LUNG INSTITUTE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-649-8415
Mailing Address - Street 1:201 E KENNEDY BLVD
Mailing Address - Street 2:STE.425
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5181
Mailing Address - Country:US
Mailing Address - Phone:855-313-1149
Mailing Address - Fax:
Practice Address - Street 1:201 E KENNEDY BLVD
Practice Address - Street 2:STE.425
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5181
Practice Address - Country:US
Practice Address - Phone:855-313-1149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGENERATIVE MEDICINE SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty