Provider Demographics
NPI:1073863270
Name:BIOREFERENCE HEALTH, LLC
Entity Type:Organization
Organization Name:BIOREFERENCE HEALTH, LLC
Other - Org Name:BIO-REFERENCE LABORATORIES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SVP, CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-791-2600
Mailing Address - Street 1:481 EDWARD H ROSS DR
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-3118
Mailing Address - Country:US
Mailing Address - Phone:800-229-5227
Mailing Address - Fax:201-791-1941
Practice Address - Street 1:174 MINEOLA BLVD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2594
Practice Address - Country:US
Practice Address - Phone:800-229-5227
Practice Address - Fax:201-791-1941
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOREFERENCE HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-14
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33D0982993291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33D0982993OtherCLIA
NY7955OtherSTATE LICENES