Provider Demographics
NPI:1477634830
Name:BIO-VISION DIAGNOSTICS INC
Entity Type:Organization
Organization Name:BIO-VISION DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:RCS,CCT,RCVT
Authorized Official - Phone:786-487-7771
Mailing Address - Street 1:8205 SW 87TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4146
Mailing Address - Country:US
Mailing Address - Phone:786-487-7771
Mailing Address - Fax:305-222-6199
Practice Address - Street 1:8205 SW 87TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4146
Practice Address - Country:US
Practice Address - Phone:786-487-7771
Practice Address - Fax:305-222-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000006720246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTX ID
FL=========OtherTX ID