Provider Demographics
NPI:1619648987
Name:NANOBIOSYM GLOBAL INITIATIVE LLC
Entity Type:Organization
Organization Name:NANOBIOSYM GLOBAL INITIATIVE LLC
Other - Org Name:NANOBIOSYM PRECISION TESTING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD-PHD
Authorized Official - Phone:617-669-6359
Mailing Address - Street 1:245 FIRST ST
Mailing Address - Street 2:18TH FLOOR - ACCTS PAYABLE
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02142
Mailing Address - Country:US
Mailing Address - Phone:617-669-6359
Mailing Address - Fax:
Practice Address - Street 1:245 FIRST ST STE 175
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1292
Practice Address - Country:US
Practice Address - Phone:781-391-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-25
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory