Organization
SISIRA RANASINGHE M.D., INC.
Active
Other names
SURGCYTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SISIRA RANASINGHE M.D. (LABORATORY DIRECTOR)
(260) 471-7675
Entity
Organization
Contact information
Practice address
228D, EAST COLLINS ROAD, FORT WAYNE, IN 46825-5394
(260) 471-7675
(260) 471-0701
Mailing address
228D, EAST COLLINS ROAD, FORT WAYNE, IN 46825-5394
(260) 471-7675
(260) 471-0701
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
291U230900
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D0966899
CLIA LABORATORY NUMBER
IN
05
—
200299150A
—
IN
Enumeration date
05/03/2007
Last updated
06/09/2008
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