Provider Demographics
NPI:1467011700
Name:BRIGHTPOINT LABORATORIES LLC
Entity Type:Organization
Organization Name:BRIGHTPOINT LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-207-2505
Mailing Address - Street 1:71 W 23RD ST FL 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3509
Mailing Address - Country:US
Mailing Address - Phone:718-207-2505
Mailing Address - Fax:646-380-1322
Practice Address - Street 1:12008 131ST ST
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-2922
Practice Address - Country:US
Practice Address - Phone:718-207-2505
Practice Address - Fax:646-380-1322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUDSON RIVER HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory