Organization Active NPI

Cytometry Specialists, Inc.

  • Clinical Medical Laboratory
  • Alpharetta, GA
National Provider Identifier
1679580286
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
060-252 Issued in GA
Legal business name
CYTOMETRY SPECIALISTS, INC.
Practice address
2580 Westside Parkway
Alpharetta, GA 30004-8947
Phone
(800) 990-9185
Fax
(678) 205-4901
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jian Xie
Title
Coo
Phone
(626) 350-0537

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 060-252 GA Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

2580 Westside Parkway
Alpharetta, GA 30004-8947

Mailing address

1111 S Freeport Pkwy
Coppell, TX 75019-4435
Phone (866) 588-3280

Other identifiers 9

IdentifierTypeStateIssuer
009932000MedicaidAL
0100102MedicaidVA
36203800MedicaidWI
1148261MedicaidLA
L00118MedicaidSC
612093100OtherKYUS DEPARTMENT OF LABOR #
7001178MedicaidNC
2686286MedicaidOH
000765146AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060817000193 GA Part B Supplier - Independent Clinical Laboratory 6901809714 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0933321Cytometry Specialists, Inc2580 Westside Parkway, Alpharetta, GA 30004AccreditationDec 30, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2580 Westside Pkwy
Alpharetta, GA 30004
Phone (678) 205-1551

100 E Alton Gloor Blvd
Unit A
Brownsville, TX 78526

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1679580286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S FREEPORT PKWY",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194435",
            "telephone_number": "866-588-3280",
            "fax_number": "972-767-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 WESTSIDE PARKWAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048947",
            "telephone_number": "800-990-9185",
            "fax_number": "678-205-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYTOMETRY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "JIAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "626-350-0537"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "060-252",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932000",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100102",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36203800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148261",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L00118",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR #",
            "identifier": "612093100",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001178",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2686286",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000765146A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.