Provider Demographics
NPI:1649504192
Name:BIOCYTICS, INC.
Entity type:Organization
Organization Name:BIOCYTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:POWDERLY
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:704-464-3249
Mailing Address - Street 1:9801 WEST KINCEY AVE
Mailing Address - Street 2:STE 145
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078
Mailing Address - Country:US
Mailing Address - Phone:704-414-3249
Mailing Address - Fax:704-464-3160
Practice Address - Street 1:9801 WEST KINCEY AVE
Practice Address - Street 2:STE 145
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:704-414-3249
Practice Address - Fax:704-464-3160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000939291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG92364Medicare UPIN
NC2280910DMedicare PIN