Provider Demographics
NPI:1144483462
Name:BIOMEDICAL DIAGNOSTICS & RESEARCH, INC.
Entity type:Organization
Organization Name:BIOMEDICAL DIAGNOSTICS & RESEARCH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-885-0662
Mailing Address - Street 1:625 S PLUMER AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-7044
Mailing Address - Country:US
Mailing Address - Phone:520-885-0662
Mailing Address - Fax:520-296-8223
Practice Address - Street 1:625 S PLUMER AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-7044
Practice Address - Country:US
Practice Address - Phone:520-885-0662
Practice Address - Fax:520-296-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ03D0985734291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory