Provider Demographics
NPI:1407596737
Name:BRIO CLINICAL INC
Entity Type:Organization
Organization Name:BRIO CLINICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:THAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-798-0654
Mailing Address - Street 1:4528 W CRAIG RD STE 110
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-2505
Mailing Address - Country:US
Mailing Address - Phone:951-465-3500
Mailing Address - Fax:702-850-2377
Practice Address - Street 1:4528 W CRAIG RD STE 110
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-2505
Practice Address - Country:US
Practice Address - Phone:951-465-3500
Practice Address - Fax:702-850-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory