MEDICARE: MET-TEST, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246X00000X	Cardiovascular Specialist/Technologist
2	2278P1006X	Pulmonary Function Technologist Certified Respiratory Therapist

General Provider Information

NPI Number	:	1942415500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MET-TEST, LLC

Provider Business Mailing Address
First Line	:	1117 PERIMETER CTR W
Second Line	:	SUITE W-211
City	:	ATLANTA
State	:	GA
Zip	:	30338-5444
Country	:	US
Telephone Number	:	678-636-3060
Fax Number	:	678-636-3086

Provider Business Practice Location Address
First Line	:	4242 GUS YOUNG AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70802-1733
Country	:	US
Telephone Number	:	678-636-3060
Fax Number	:	678-636-3086

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SUNDEEP CHAUDHRY
Credential	:	M.D.
Telephone Number	:	678-636-3062

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/26/2008

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Directions to “MET-TEST, LLC ” Practice Location

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