Provider Demographics
NPI:1356783344
Name:BIOGENICA LABORATORIES LLC
Entity type:Organization
Organization Name:BIOGENICA LABORATORIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LALEHZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-791-7293
Mailing Address - Street 1:241 MOLNAR DR UNIT A1
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-3200
Mailing Address - Country:US
Mailing Address - Phone:201-791-7293
Mailing Address - Fax:
Practice Address - Street 1:241 MOLNAR DR UNIT A1
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-3200
Practice Address - Country:US
Practice Address - Phone:201-791-7293
Practice Address - Fax:201-791-7326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0007043291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory