Provider Demographics
NPI:1508619693
Name:NEWBIO LABS, INC.
Entity Type:Organization
Organization Name:NEWBIO LABS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-388-8931
Mailing Address - Street 1:1168 MIDDLEBURY LN APT A1
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-2453
Mailing Address - Country:US
Mailing Address - Phone:773-574-5499
Mailing Address - Fax:
Practice Address - Street 1:7000 CATON FARM RD STE O
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-8123
Practice Address - Country:US
Practice Address - Phone:630-388-8931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory