Provider Demographics
NPI:1306050414
Name:CELL SCIENCE SYSTEMS, CORP.
Entity type:Organization
Organization Name:CELL SCIENCE SYSTEMS, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PUCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-426-2304
Mailing Address - Street 1:852 S MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-2985
Mailing Address - Country:US
Mailing Address - Phone:954-426-2304
Mailing Address - Fax:954-428-8676
Practice Address - Street 1:852 S MILITARY TRL
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-2985
Practice Address - Country:US
Practice Address - Phone:954-426-2304
Practice Address - Fax:954-428-8676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL80001500291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory