Provider Demographics
NPI:1598153546
Name:PULMO-TECH, LLC
Entity Type:Organization
Organization Name:PULMO-TECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEKSANI
Authorized Official - Suffix:
Authorized Official - Credentials:RCP, RRT, RPFT
Authorized Official - Phone:818-468-1574
Mailing Address - Street 1:411 NARANJA DR
Mailing Address - Street 2:E
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-3443
Mailing Address - Country:US
Mailing Address - Phone:818-468-1574
Mailing Address - Fax:
Practice Address - Street 1:411 NARANJA DR
Practice Address - Street 2:E
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-3443
Practice Address - Country:US
Practice Address - Phone:818-468-1574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34223293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory