Organization
BIOTAB LLC
Active
Other names
BioTAB Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM BACICH (OWNER)
(314) 812-3949
Entity
Organization
Contact information
Practice address
11701 BORMAN DR STE 107, SAINT LOUIS, MO 63146-4100
(877) 246-8220
Mailing address
11701 BORMAN DR STE 107, SAINT LOUIS, MO 63146-4100
(877) 246-8220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184836
ANTHEM BLUE CROSS
—
Enumeration date
09/16/2006
Last updated
06/09/2025
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