# BIS LOGISTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AmnioMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528820156
- **Authorized official:** DR. SAMUEL R RAYALU MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (770) 545-4269

## Contact information

- **Practice address:** 611 ROOSEVELT BLVD, MARMORA, NJ 08223-1429
- **Practice address phone:** (770) 545-4269
- **Mailing address:** 611 ROOSEVELT BLVD, MARMORA, NJ 08223-1429
- **Mailing address phone:** (770) 545-4269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 02/13/2024