Provider Demographics
NPI:1073925517
Name:SYSMEX INOSTICS, INC.
Entity Type:Organization
Organization Name:SYSMEX INOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP COMMERCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-759-8650
Mailing Address - Street 1:P.O. BOX 250
Mailing Address - Street 2:
Mailing Address - City:WAUCONDA
Mailing Address - State:IL
Mailing Address - Zip Code:60084-0250
Mailing Address - Country:US
Mailing Address - Phone:443-759-8650
Mailing Address - Fax:443-455-1636
Practice Address - Street 1:1812 ASHLAND AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1546
Practice Address - Country:US
Practice Address - Phone:443-759-8650
Practice Address - Fax:443-455-1636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory