Provider Demographics
NPI:1265060289
Name:BIOTIA, INC.
Entity type:Organization
Organization Name:BIOTIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:NIAMH
Authorized Official - Middle Name:B
Authorized Official - Last Name:O'HARA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:845-405-6461
Mailing Address - Street 1:140 58TH ST. BUILDING A
Mailing Address - Street 2:SUITE 8J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2539
Mailing Address - Country:US
Mailing Address - Phone:724-970-4879
Mailing Address - Fax:
Practice Address - Street 1:140 58TH ST.
Practice Address - Street 2:BUILDING A SUITE 8J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1122
Practice Address - Country:US
Practice Address - Phone:724-970-4879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory