Provider Demographics
NPI:1528703048
Name:CYTOMETRY SPECIALISTS, INC.
Entity type:Organization
Organization Name:CYTOMETRY SPECIALISTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-319-3324
Mailing Address - Street 1:4399 SANTA ANITA AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-1648
Mailing Address - Country:US
Mailing Address - Phone:626-350-0537
Mailing Address - Fax:626-454-1667
Practice Address - Street 1:4399 SANTA ANITA AVE # 4401
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1648
Practice Address - Country:US
Practice Address - Phone:626-350-0537
Practice Address - Fax:626-454-1667
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FULGENT GENETICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-29
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Multi-Specialty