MEDICARE: CYTOCHECK LABORATORY, 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1881829075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYTOCHECK LABORATORY, LLC

Provider Business Mailing Address
First Line	:	1902 S HWY 59 BLDG D
Second Line	:
City	:	PARSONS
State	:	KS
Zip	:	67357-4955
Country	:	US
Telephone Number	:	620-421-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	8626 TESORO DR STE 600A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-6234
Country	:	US
Telephone Number	:	620-421-2424
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PATHOLOGIST
Name	:	DR. JAMES R WELCH
Credential	:	MD
Telephone Number	:	620-421-2424

Provider Enumeration Date	:	05/18/2009
Last Update Date	:	05/18/2009

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