Provider Demographics
NPI:1144819566
Name:OCEAN BIOSCIENCES LLC
Entity type:Organization
Organization Name:OCEAN BIOSCIENCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-238-0580
Mailing Address - Street 1:1369 SPRING ST NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2845
Mailing Address - Country:US
Mailing Address - Phone:206-238-0580
Mailing Address - Fax:
Practice Address - Street 1:1369 SPRING ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2845
Practice Address - Country:US
Practice Address - Phone:206-238-0580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLOW HEALTH HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-11
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory