Provider Demographics
NPI:1225337249
Name:CYTOLAB PATHOLOGY SERVICES INC PS
Entity Type:Organization
Organization Name:CYTOLAB PATHOLOGY SERVICES INC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:NAKONECHNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-712-8020
Mailing Address - Street 1:6825 216TH ST SW
Mailing Address - Street 2:SUITE E
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7379
Mailing Address - Country:US
Mailing Address - Phone:425-712-8020
Mailing Address - Fax:425-712-8349
Practice Address - Street 1:6825 216TH ST SW
Practice Address - Street 2:SUITE E
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-7379
Practice Address - Country:US
Practice Address - Phone:425-712-8020
Practice Address - Fax:425-712-8349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory