Provider Demographics
NPI:1922115948
Name:X-CELL LABORATORIES INC
Entity Type:Organization
Organization Name:X-CELL LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCIEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:909-307-9373
Mailing Address - Street 1:414 TENNESSEE ST
Mailing Address - Street 2:STE H
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373
Mailing Address - Country:US
Mailing Address - Phone:909-307-9373
Mailing Address - Fax:909-307-1041
Practice Address - Street 1:414 TENNESSEE ST
Practice Address - Street 2:STE H
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373
Practice Address - Country:US
Practice Address - Phone:909-307-9373
Practice Address - Fax:909-307-1041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
690009368OtherRAILROAD
ZZZ22891ZMedicare ID - Type Unspecified