Provider Demographics
NPI:1659922680
Name:FIBRONOSTICS US, INC.
Entity Type:Organization
Organization Name:FIBRONOSTICS US, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONI
Authorized Official - Middle Name:H
Authorized Official - Last Name:AMIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-552-1603
Mailing Address - Street 1:1050 WALL ST W STE 360
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-3604
Mailing Address - Country:US
Mailing Address - Phone:201-821-7900
Mailing Address - Fax:
Practice Address - Street 1:3452 LAKE LYNDA DR STE 151
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-1472
Practice Address - Country:US
Practice Address - Phone:888-552-1603
Practice Address - Fax:321-256-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00000000OtherNA