Provider Demographics
NPI:1083880447
Name:BIOTEL INR, LLC
Entity Type:Organization
Organization Name:BIOTEL INR, LLC
Other - Org Name:ROCHE INSULIN DELIVERY SYSTEMS INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-729-0504
Mailing Address - Street 1:1000 CEDAR HOLLOW RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2300
Mailing Address - Country:US
Mailing Address - Phone:610-729-5066
Mailing Address - Fax:
Practice Address - Street 1:9115 HAGUE RD
Practice Address - Street 2:STE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1025
Practice Address - Country:US
Practice Address - Phone:317-521-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0105509540293D00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN258200OtherMEDICARE PTAN