Provider Demographics
NPI:1265668768
Name:H.B.A. CYTOPATHOLOGY CENTER, INC.
Entity Type:Organization
Organization Name:H.B.A. CYTOPATHOLOGY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOSSEIN
Authorized Official - Middle Name:BROUMAND
Authorized Official - Last Name:ABBASSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-720-2293
Mailing Address - Street 1:395 13TH STREET
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:WV
Mailing Address - Zip Code:25064-3015
Mailing Address - Country:US
Mailing Address - Phone:304-720-2293
Mailing Address - Fax:304-720-9794
Practice Address - Street 1:395 13TH ST
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:WV
Practice Address - Zip Code:25064-3015
Practice Address - Country:US
Practice Address - Phone:304-720-2293
Practice Address - Fax:304-720-9794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2225-3218291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory