Provider Demographics
NPI:1861634727
Name:US BIO-CHEM MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:US BIO-CHEM MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-455-9690
Mailing Address - Street 1:4539 N I 10 SERVICE RD W
Mailing Address - Street 2:SUITE 101
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6575
Mailing Address - Country:US
Mailing Address - Phone:504-455-9690
Mailing Address - Fax:504-455-4988
Practice Address - Street 1:4539 N I 10 SERVICE RD W
Practice Address - Street 2:SUITE 101
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6575
Practice Address - Country:US
Practice Address - Phone:504-455-9690
Practice Address - Fax:504-455-4988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory