Provider Demographics
NPI:1376561340
Name:BIOMECH ANALYTICAL RADIOLOGY CONSULTANTS, INC.
Entity Type:Organization
Organization Name:BIOMECH ANALYTICAL RADIOLOGY CONSULTANTS, INC.
Other - Org Name:BARC, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-414-0725
Mailing Address - Street 1:2810 THOUSAND OAKS DR
Mailing Address - Street 2:#208
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4108
Mailing Address - Country:US
Mailing Address - Phone:210-414-0725
Mailing Address - Fax:210-403-3038
Practice Address - Street 1:2810 THOUSAND OAKS DR
Practice Address - Street 2:#208
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4108
Practice Address - Country:US
Practice Address - Phone:210-414-0725
Practice Address - Fax:210-403-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6736111NR0200X
TX5555111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty