OrganizationActive
Pulmonary Diagnostic Services LLC
NPI 1497099683 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Vicksburg, MS
Provider details
- NPI number
- 1497099683
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristy Burke-Gullett, Owner(601) 218-6300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
114 Monument Pl
Vicksburg, MS 39180-5169
Phone: (601) 636-9064
Street-level locationGet directions
Mailing address
440 Dogwood Lake Dr
Vicksburg, MS 39183-7462
Registry dates
- Enumerated
- 2012-11-12
- Last updated
- 2012-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.