Provider Demographics
NPI:1255189783
Name:CITY GENOMICS INC
Entity type:Organization
Organization Name:CITY GENOMICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BOSONG
Authorized Official - Middle Name:
Authorized Official - Last Name:DAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-513-7010
Mailing Address - Street 1:5252 HOLLISTER ST STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6210
Mailing Address - Country:US
Mailing Address - Phone:281-513-7010
Mailing Address - Fax:
Practice Address - Street 1:5252 HOLLISTER ST STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6210
Practice Address - Country:US
Practice Address - Phone:281-513-7010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory