Provider Demographics
NPI:1326071424
Name:X-CELL LABORATORIES OF WESTERN NEW YORK INC
Entity Type:Organization
Organization Name:X-CELL LABORATORIES OF WESTERN NEW YORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SATEESH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SATCHIDANAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-891-2144
Mailing Address - Street 1:20 NORTHPOINTE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-6800
Mailing Address - Country:US
Mailing Address - Phone:716-250-9235
Mailing Address - Fax:716-250-9242
Practice Address - Street 1:20 NORTHPOINTE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-6800
Practice Address - Country:US
Practice Address - Phone:716-250-9235
Practice Address - Fax:716-250-9242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPFI 7317291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
BB5100Medicare ID - Type Unspecified