Provider Demographics
NPI:1558718015
Name:BIOMETRICS MEDICAL TESTING LLC
Entity Type:Organization
Organization Name:BIOMETRICS MEDICAL TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHERICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAGON-KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-785-7340
Mailing Address - Street 1:13727 SW 152ND ST # 647
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1106
Mailing Address - Country:US
Mailing Address - Phone:305-785-7340
Mailing Address - Fax:
Practice Address - Street 1:13727 SW 152ND ST # 647
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1106
Practice Address - Country:US
Practice Address - Phone:305-785-7340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-15
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10D2111264291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory