Provider Demographics
NPI:1467949818
Name:CYTOCHECK LABORATORY, LLC
Entity Type:Organization
Organization Name:CYTOCHECK LABORATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:620-423-1555
Mailing Address - Street 1:1201 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-4934
Mailing Address - Country:US
Mailing Address - Phone:620-423-1555
Mailing Address - Fax:
Practice Address - Street 1:1201 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-4934
Practice Address - Country:US
Practice Address - Phone:620-423-1555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory