Provider Demographics
NPI:1457992604
Name:BIOSERENITY USA INC.
Entity Type:Organization
Organization Name:BIOSERENITY USA INC.
Other - Org Name:REACTDX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-676-0010
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-0854
Mailing Address - Country:US
Mailing Address - Phone:972-782-9968
Mailing Address - Fax:978-536-6351
Practice Address - Street 1:801 CROMWELL PARK DR STE 108
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2539
Practice Address - Country:US
Practice Address - Phone:410-590-0443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No293D00000XLaboratoriesPhysiological Laboratory