Provider Demographics
NPI:1033681127
Name:AILIFE DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:AILIFE DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YAPING
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:832-646-2400
Mailing Address - Street 1:1920 COUNTRY PLACE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2282
Mailing Address - Country:US
Mailing Address - Phone:832-646-2400
Mailing Address - Fax:
Practice Address - Street 1:1920 COUNTRY PLACE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2282
Practice Address - Country:US
Practice Address - Phone:346-342-1802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-30
Last Update Date:2018-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D2157396OtherCMS CLIA ID