Provider Demographics
NPI:1891359642
Name:EUCYT LABORATORIES, L.L.C.
Entity Type:Organization
Organization Name:EUCYT LABORATORIES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-219-1531
Mailing Address - Street 1:5670 WYNN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2356
Mailing Address - Country:US
Mailing Address - Phone:702-219-1531
Mailing Address - Fax:
Practice Address - Street 1:5670 WYNN RD STE D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2355
Practice Address - Country:US
Practice Address - Phone:702-776-4114
Practice Address - Fax:702-909-3757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes331L00000XSuppliersBlood Bank
Provider Identifiers
StateIdentifier IDID TypeIssuer
29D2142523OtherCLIA