Provider Demographics
NPI:1023035904
Name:BIOPATHLOGY SCIENCES MEDICAL CORP.
Entity Type:Organization
Organization Name:BIOPATHLOGY SCIENCES MEDICAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-616-2950
Mailing Address - Street 1:393 E GRAND AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-6233
Mailing Address - Country:US
Mailing Address - Phone:650-616-2950
Mailing Address - Fax:
Practice Address - Street 1:393 E GRAND AVE
Practice Address - Street 2:SUITE I
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-6233
Practice Address - Country:US
Practice Address - Phone:650-616-2950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF11353291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ03984ZMedicare PIN