Provider Demographics
NPI:1538846522
Name:BIOCHEM MEDICAL DIAGNOSTIC LABS
Entity type:Organization
Organization Name:BIOCHEM MEDICAL DIAGNOSTIC LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNYA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-330-9700
Mailing Address - Street 1:5 MEADOWS RUN DR
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2213
Mailing Address - Country:US
Mailing Address - Phone:347-782-4860
Mailing Address - Fax:855-251-6625
Practice Address - Street 1:57 SCHANCK RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3072
Practice Address - Country:US
Practice Address - Phone:973-330-9700
Practice Address - Fax:855-251-6625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory