Provider Demographics
NPI:1619168465
Name:BIOFLEX, INC.
Entity Type:Organization
Organization Name:BIOFLEX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:MUCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:614-236-8079
Mailing Address - Street 1:3055 TEMPLETON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2589
Mailing Address - Country:US
Mailing Address - Phone:614-236-8079
Mailing Address - Fax:614-236-8083
Practice Address - Street 1:3055 TEMPLETON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2589
Practice Address - Country:US
Practice Address - Phone:614-236-8079
Practice Address - Fax:614-236-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPO 76335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier