Provider Demographics
NPI:1134277494
Name:BIOREFERENCE HEALTH, LLC
Entity type:Organization
Organization Name:BIOREFERENCE HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP, CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-791-2600
Mailing Address - Street 1:481 EDWARD H ROSS DR
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-3118
Mailing Address - Country:US
Mailing Address - Phone:201-791-2600
Mailing Address - Fax:201-791-1941
Practice Address - Street 1:481 EDWARD H ROSS DR
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-3118
Practice Address - Country:US
Practice Address - Phone:201-791-2600
Practice Address - Fax:201-791-1941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
NJ0000283291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
040401002301OtherFIDELIS CARE NY
423457928OtherAMERICAID
NY00919177Medicaid
MD858500800Medicaid
BE0000142OtherAMERICHOICE NJ
LAB089OtherOXFORD
BK0109201OtherAMERICHOICE NY
0089438OtherGHI GROUP HEALTH
1000003461OtherAFFINITY HEALTH PLAN
0043538OtherAETNA
FL030727100Medicaid
NJ0930610Medicaid
NJ31D0652945OtherCLIA
MO706106507Medicaid
423457928OtherAMERICAID
NY00919177Medicaid