Provider Demographics
NPI:1225925043
Name:SIMBRYO TECHNOLOGIES, INC.
Entity type:Organization
Organization Name:SIMBRYO TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-763-5535
Mailing Address - Street 1:1606 HEADWAY CIR STE 9074
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5123
Mailing Address - Country:US
Mailing Address - Phone:512-763-5535
Mailing Address - Fax:
Practice Address - Street 1:7505 FANNIN ST STE 640B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1913
Practice Address - Country:US
Practice Address - Phone:512-763-5535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory