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Organization
BIOTECH X-RAY, INC.
Active
Organization
BIOTECH X-RAY, INC.
Active
Parent organization
BIOTECH X-RAY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIOTECH X-RAY, INC.
Authorized official
MRS. TAMARA BISHOP SCHWARTZ (PRESIDENT)
(314) 449-1669
Entity
Organization
Contact information
Practice address
1065 EXECUTIVE PARKWAY DR STE 220, SAINT LOUIS, MO 63141-6367
(314) 548-2900
(314) 548-2920
Mailing address
1065 EXECUTIVE PARKWAY DR STE 220, SAINT LOUIS, MO 63141-6367
(314) 548-2900
(314) 548-2920
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
000047082
MO
293D00000X
Physiological Laboratory
216464
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000047082
MEDICARE PTAN
MO
01
—
216464
MEDICARE PTAN
IL
Enumeration date
12/17/2008
Last updated
08/12/2025
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