Provider Demographics
NPI:1851865224
Name:HALIODX INC
Entity Type:Organization
Organization Name:HALIODX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNAMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BONANNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-944-1904
Mailing Address - Street 1:737 N 5TH ST STE 600
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1445
Mailing Address - Country:US
Mailing Address - Phone:804-944-1904
Mailing Address - Fax:
Practice Address - Street 1:737 N 5TH ST STE 600
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1445
Practice Address - Country:US
Practice Address - Phone:804-944-1904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory