Provider Demographics
NPI:1467502617
Name:BIOLECTRON
Entity Type:Organization
Organization Name:BIOLECTRON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHTOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-299-9300
Mailing Address - Street 1:18662 MACARTHUR BLVD
Mailing Address - Street 2:AIRPORT BUSINESS CENTER EXECUTIVE SUITES SUITE #200
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1200
Mailing Address - Country:US
Mailing Address - Phone:949-798-3885
Mailing Address - Fax:
Practice Address - Street 1:18662 MACARTHUR BLVD
Practice Address - Street 2:AIRPORT BUSINESS CENTER EXECUTIVE SUITES SUITE #200
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1200
Practice Address - Country:US
Practice Address - Phone:949-798-3885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101232332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101232OtherHOME MEDICAL DEVICE REGIS