Provider Demographics
NPI:1174771059
Name:NORTH STATE PULMONARY FUNCTION LABORATORY
Entity type:Organization
Organization Name:NORTH STATE PULMONARY FUNCTION LABORATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:530-343-5864
Mailing Address - Street 1:130 INDEPENDENCE CIR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-4962
Mailing Address - Country:US
Mailing Address - Phone:530-343-5864
Mailing Address - Fax:530-343-8370
Practice Address - Street 1:130 INDEPENDENCE CIR
Practice Address - Street 2:SUITE 1
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-4962
Practice Address - Country:US
Practice Address - Phone:530-343-5864
Practice Address - Fax:530-343-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARCP3176225B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function TechnologistGroup - Multi-Specialty