Provider Demographics
NPI:1033454715
Name:PARABASE GENOMICS INC
Entity Type:Organization
Organization Name:PARABASE GENOMICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMMERCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BETHLENDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-288-0838
Mailing Address - Street 1:27 DRYDOCK AVE, 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210
Mailing Address - Country:US
Mailing Address - Phone:857-288-0838
Mailing Address - Fax:866-604-9369
Practice Address - Street 1:27 DRYDOCK AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-2377
Practice Address - Country:US
Practice Address - Phone:857-288-0838
Practice Address - Fax:866-604-9369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory