Provider Demographics
NPI:1740337963
Name:BIOPATH DIAGNOSTIC ASSOCIATES, PC
Entity type:Organization
Organization Name:BIOPATH DIAGNOSTIC ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, BIOPATH DIAGNOSTIC ASSOC
Authorized Official - Prefix:DR
Authorized Official - First Name:VASILIKI
Authorized Official - Middle Name:LEONIDAS
Authorized Official - Last Name:SAITAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-358-3651
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-0132
Mailing Address - Country:US
Mailing Address - Phone:201-358-3651
Mailing Address - Fax:
Practice Address - Street 1:250 OLD HOOK RD
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3123
Practice Address - Country:US
Practice Address - Phone:201-358-3651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF65391Medicare UPIN