Provider Demographics
NPI:1033591300
Name:CYMATEX CONSULTS, LLC
Entity Type:Organization
Organization Name:CYMATEX CONSULTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAGHIONYEODIWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-646-2214
Mailing Address - Street 1:14440 CHERRY LANE CT STE 102
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4946
Mailing Address - Country:US
Mailing Address - Phone:240-646-2214
Mailing Address - Fax:240-650-0860
Practice Address - Street 1:9453 FENS HOLW
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-5734
Practice Address - Country:US
Practice Address - Phone:240-646-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-23
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3743P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health