Provider Demographics
NPI:1629370671
Name:BIO SCIENCE LABORATORIES, INC
Entity type:Organization
Organization Name:BIO SCIENCE LABORATORIES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ILLONA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NAGY
Authorized Official - Suffix:
Authorized Official - Credentials:MT(ASCP) MS
Authorized Official - Phone:631-757-3651
Mailing Address - Street 1:26 NORFOLK DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1031
Mailing Address - Country:US
Mailing Address - Phone:516-380-1457
Mailing Address - Fax:
Practice Address - Street 1:1228 WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2209
Practice Address - Country:US
Practice Address - Phone:516-221-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-24
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2148291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory