Healthcare Provider Details

I. General information

NPI: 1679580286
Provider Name (Legal Business Name): CYTOMETRY SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 WESTSIDE PARKWAY
ALPHARETTA GA
30004-8947
US

IV. Provider business mailing address

1111 S FREEPORT PKWY
COPPELL TX
75019-4435
US

V. Phone/Fax

Practice location:
  • Phone: 800-990-9185
  • Fax: 678-205-4901
Mailing address:
  • Phone: 866-588-3280
  • Fax: 972-767-0225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number060-252
License Number StateGA

VIII. Authorized Official

Name: JIAN XIE
Title or Position: COO
Credential:
Phone: 626-350-0537