Provider Demographics
NPI:1306418934
Name:REOPEN DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:REOPEN DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BADAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-831-3555
Mailing Address - Street 1:430 E 29TH ST FL 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8367
Mailing Address - Country:US
Mailing Address - Phone:541-253-7349
Mailing Address - Fax:
Practice Address - Street 1:131 INNOVATION DR STE 150
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92617-3037
Practice Address - Country:US
Practice Address - Phone:651-253-7349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPENTRONS LABWORKS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-13
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory