Provider Demographics
NPI:1467346718
Name:BIOLIFE DIAGNOSTICS INC
Entity type:Organization
Organization Name:BIOLIFE DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:HICHAM
Authorized Official - Last Name:ABUJAJEH
Authorized Official - Suffix:
Authorized Official - Credentials:MLS
Authorized Official - Phone:314-750-5504
Mailing Address - Street 1:25959 KELLY RD STE B
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4991
Mailing Address - Country:US
Mailing Address - Phone:314-750-5504
Mailing Address - Fax:
Practice Address - Street 1:25959 KELLY RD STE B
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4991
Practice Address - Country:US
Practice Address - Phone:314-750-5504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory