Provider Demographics
NPI:1609356831
Name:PULMONARY FUNCTION ASSOCIATES, LLC
Entity Type:Organization
Organization Name:PULMONARY FUNCTION ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LJILJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:916-476-5050
Mailing Address - Street 1:1315 ALHAMBRA BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5246
Mailing Address - Country:US
Mailing Address - Phone:916-476-5050
Mailing Address - Fax:
Practice Address - Street 1:1315 ALHAMBRA BLVD STE 205
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5246
Practice Address - Country:US
Practice Address - Phone:916-476-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory