Provider Demographics
NPI:1447940499
Name:BIOMECH
Entity type:Organization
Organization Name:BIOMECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:FORNARI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:866-246-9999
Mailing Address - Street 1:13550 WATERFORD PL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3928
Mailing Address - Country:US
Mailing Address - Phone:866-246-9999
Mailing Address - Fax:866-419-5864
Practice Address - Street 1:13550 WATERFORD PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-3928
Practice Address - Country:US
Practice Address - Phone:866-246-9999
Practice Address - Fax:866-419-5864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological LaboratoryGroup - Multi-Specialty