Organization Name: | BIOTECH X-RAY, INC. |
NPI Number: | 1790921088 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMARA BISHOP SCHWARTZ (PRESIDENT) |
Mailing Address: | 1065 Executive Parkway Dr Ste 220 Saint Louis |
State: | MO US |
Postal Code: | 631416367 |
Phone Number: | 3145482900 |
Fax Number: | 3145482920 |
NPI Enumeration Date: | 12/17/2008 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | 216464 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |