Provider Demographics
NPI:1821585381
Name:CELL DIAGNOSTICS INC
Entity Type:Organization
Organization Name:CELL DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-682-2172
Mailing Address - Street 1:1737 E WASHINGTON BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2772
Mailing Address - Country:US
Mailing Address - Phone:323-682-2172
Mailing Address - Fax:
Practice Address - Street 1:1737 E WASHINGTON BLVD STE 5
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-2772
Practice Address - Country:US
Practice Address - Phone:323-682-2172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory