Provider Demographics
NPI:1881829075
Name:CYTOCHECK LABORATORY, LLC
Entity Type:Organization
Organization Name:CYTOCHECK LABORATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-421-2424
Mailing Address - Street 1:1902 S HWY 59 BLDG D
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-4955
Mailing Address - Country:US
Mailing Address - Phone:620-421-2424
Mailing Address - Fax:
Practice Address - Street 1:8626 TESORO DR STE 600A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6234
Practice Address - Country:US
Practice Address - Phone:620-421-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory