MEDICARE: SOUTHWESTERN TESTING SERVICES, INC.

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	2471S1302X	Sonography Radiologic Technologist

General Provider Information

NPI Number	:	1811931157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWESTERN TESTING SERVICES, INC.

Provider Business Mailing Address
First Line	:	908 NIAGARA FALLS BLVD
Second Line	:	SUITE 208
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-2019
Country	:	US
Telephone Number	:	716-692-3302
Fax Number	:	716-692-4342

Provider Business Practice Location Address
First Line	:	4140 SHERIDAN DR
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-4341
Country	:	US
Telephone Number	:	716-204-4455
Fax Number	:	716-692-4342

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RADISLAV M LAMKIN
Credential	:
Telephone Number	:	716-204-4455

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/22/2020

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