NPI Code Details Logo

NPI 1679580286

NPI 1679580286 : CYTOMETRY SPECIALISTS, INC. : ALPHARETTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679580286
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CYTOMETRY SPECIALISTS, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/03/2006
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2580 WESTSIDE PARKWAY 
-----------------------------------------------------
    City                 |    ALPHARETTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30004-8947
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-990-9185
-----------------------------------------------------
    Fax                  |    678-205-4901
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1111 S FREEPORT PKWY 
-----------------------------------------------------
    City                 |    COPPELL
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75019-4435
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    866-588-3280
-----------------------------------------------------
    Fax                  |    972-767-0225
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COO
-----------------------------------------------------
    Name                 |     JIAN  XIE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    626-350-0537
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    291U00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Medical Laboratory
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    291U00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Medical Laboratory
-----------------------------------------------------
    License Number       |    060-252
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.