Organization
BIOMORPH LABS INC.
Active
Organization
BIOMORPH LABS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CHRISTOPHER SNIDER CNP (OWNER/ PRESIDENT)
(309) 678-4243
Entity
Organization
Contact information
Practice address
202 ELDERADO DRIVE, SUITE C-1, BLOOMINGTON, IL 61704
(309) 662-3002
Mailing address
405 N HERSHEY RD STE 6, BLOOMINGTON, IL 61704-7925
(309) 662-3002
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D1095444
IL
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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