Provider Demographics
NPI:1952976011
Name:CELLTECHGEN LLC
Entity Type:Organization
Organization Name:CELLTECHGEN LLC
Other - Org Name:CELLTECHGEN LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SCIENTIFIC SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:XIAOHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:832-606-1724
Mailing Address - Street 1:14780 MEMORIAL DR STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5284
Mailing Address - Country:US
Mailing Address - Phone:877-994-4100
Mailing Address - Fax:281-531-7940
Practice Address - Street 1:14780 MEMORIAL DR STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5284
Practice Address - Country:US
Practice Address - Phone:877-994-4100
Practice Address - Fax:281-531-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty