MEDICARE: VIACELL INT'L LLC

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	311Z00000X	Custodial Care Facility	746549	TX

General Provider Information

NPI Number	:	1871757625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIACELL INT'L LLC

Provider Business Mailing Address
First Line	:	4263 HAMBLEDON VILLAGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1844
Country	:	US
Telephone Number	:	832-754-7820
Fax Number	:	281-587-9484

Provider Business Practice Location Address
First Line	:	4263 HAMBLEDON VILLAGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1844
Country	:	US
Telephone Number	:	832-754-7820
Fax Number	:	281-587-9484

Authorized Official
Title or Position	:	CEO
Name	:	MR. LINDEN BARRINGTON EDMONDSON
Credential	:
Telephone Number	:	832-754-7820

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	07/10/2008

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