Organization
BIOHEALTH MEDICAL LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRI BHARAT MADIREDDY PH.D. (C.E.O.)
(561) 249-4317
Entity
Organization
Contact information
Practice address
3399 NW 72ND AVE, SUITE #222, MIAMI, FL 33122-1349
(305) 436-1413
(305) 436-1447
Mailing address
3399 NW 72ND AVE, SUITE #222, MIAMI, FL 33122-1349
(305) 436-1413
(305) 436-1447
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800019628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D1029258
CLIA ID NUMBER
FL
01
—
E9160
MEDICARE PTAN
—
Enumeration date
09/20/2006
Last updated
05/16/2016
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