Provider Demographics
NPI:1700531720
Name:MONARCH GLOBAL LABS
Entity Type:Organization
Organization Name:MONARCH GLOBAL LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDDIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-616-3872
Mailing Address - Street 1:1901 S HARBOR CITY BLVD STE 507
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-4770
Mailing Address - Country:US
Mailing Address - Phone:833-469-8378
Mailing Address - Fax:
Practice Address - Street 1:1901 S HARBOR CITY BLVD STE 507
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4770
Practice Address - Country:US
Practice Address - Phone:321-616-3872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory