Provider Demographics
NPI:1508499393
Name:BRIO CLINICAL INC
Entity Type:Organization
Organization Name:BRIO CLINICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINCENZO
Authorized Official - Middle Name:
Authorized Official - Last Name:SORRENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-465-3500
Mailing Address - Street 1:1910 S ARCHIBALD AVE STE U
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-8502
Mailing Address - Country:US
Mailing Address - Phone:951-465-3500
Mailing Address - Fax:909-789-0093
Practice Address - Street 1:1910 S ARCHIBALD AVE STE U
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-8502
Practice Address - Country:US
Practice Address - Phone:951-465-3500
Practice Address - Fax:909-789-0093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory