Provider Demographics
NPI:1588271910
Name:CELL STORE ONE1 INC
Entity type:Organization
Organization Name:CELL STORE ONE1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROZINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-299-9896
Mailing Address - Street 1:3727 HIGHKNOB CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4423
Mailing Address - Country:US
Mailing Address - Phone:916-299-9896
Mailing Address - Fax:
Practice Address - Street 1:3727 HIGHKNOB CIR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4423
Practice Address - Country:US
Practice Address - Phone:916-299-9896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies