Provider Demographics
NPI:1841741808
Name:BIOREFERENCE HEALTH, LLC
Entity Type:Organization
Organization Name:BIOREFERENCE HEALTH, LLC
Other - Org Name:BIO-REFERENCE LABORATORIES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SVP, CHIEF LEGAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-791-2600
Mailing Address - Street 1:481 EDWARD H ROSS DR
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-3118
Mailing Address - Country:US
Mailing Address - Phone:201-791-2600
Mailing Address - Fax:201-791-1941
Practice Address - Street 1:3401 WINONA AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-2549
Practice Address - Country:US
Practice Address - Phone:800-229-5227
Practice Address - Fax:201-663-6585
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOREFERENCE HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-14
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05D2117497OtherCLIA