MEDICARE: SJAP CYTOLOGY ASSOCIATES PLLC

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	:	1386993301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SJAP CYTOLOGY ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	3732 GLEN HAVEN BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1205
Country	:	US
Telephone Number	:	281-988-6111
Fax Number	:

Provider Business Practice Location Address
First Line	:	11949 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-1425
Country	:	US
Telephone Number	:	281-988-6111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROUPEN DEKMEZIAN
Credential	:	MD
Telephone Number	:	281-988-6111

Provider Enumeration Date	:	09/05/2012
Last Update Date	:	09/05/2012

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