Provider Demographics
NPI:1255075107
Name:CURE OMICS DIAGNOSTIC LABORATORIES
Entity type:Organization
Organization Name:CURE OMICS DIAGNOSTIC LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SIVARAMAKRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:YADAVALLI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:469-926-6718
Mailing Address - Street 1:2700 TIBBETS DR STE 504
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5916
Mailing Address - Country:US
Mailing Address - Phone:469-926-6718
Mailing Address - Fax:
Practice Address - Street 1:2700 TIBBETS DR STE 504
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5916
Practice Address - Country:US
Practice Address - Phone:469-926-6718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch