Provider Demographics
NPI:1245937325
Name:BILLIONTOONE, INC.
Entity type:Organization
Organization Name:BILLIONTOONE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CREDENTIALING AND CONTRACT COO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WASKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-607-4884
Mailing Address - Street 1:PO BOX 8040
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60197-8040
Mailing Address - Country:US
Mailing Address - Phone:616-607-4884
Mailing Address - Fax:866-243-4198
Practice Address - Street 1:1035 OBRIEN DR
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-1408
Practice Address - Country:US
Practice Address - Phone:616-607-4884
Practice Address - Fax:866-243-4198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0088270Medicaid
NE10026909901Medicaid
WA2302711Medicaid
MD451074701Medicaid
CACA384475Medicaid
CA05D2275351OtherCLIA CERTIFICATE
CA1245937325Medicaid
AZ167293Medicaid
CO9000235262Medicaid
VA30015266820005Medicaid
AR334198709Medicaid
UT4294420Medicaid