Provider Demographics
NPI:1093490112
Name:BIOGENE DIAGNOSTICS INC.
Entity Type:Organization
Organization Name:BIOGENE DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZEYAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABULATHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-200-5054
Mailing Address - Street 1:10842 NOEL ST UNIT 111A
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2555
Mailing Address - Country:US
Mailing Address - Phone:657-214-2617
Mailing Address - Fax:657-214-2617
Practice Address - Street 1:10842 NOEL ST UNIT 111A
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2555
Practice Address - Country:US
Practice Address - Phone:657-214-2617
Practice Address - Fax:657-214-2617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory