Provider Demographics
NPI:1629203492
Name:CYTOLOGY ASSOCIATES OF HOUSTON
Entity Type:Organization
Organization Name:CYTOLOGY ASSOCIATES OF HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:L
Authorized Official - Last Name:RODRIGEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-391-0324
Mailing Address - Street 1:1611 N SAN FERNANDO BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-4152
Mailing Address - Country:US
Mailing Address - Phone:818-391-0324
Mailing Address - Fax:
Practice Address - Street 1:1611 N SAN FERNANDO BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-4152
Practice Address - Country:US
Practice Address - Phone:818-391-0324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory