Active NPI
Biodiagnostic Laboratory Services,LLC.
- Clinical Medical Laboratory
- Parsippany, NJ
National Provider Identifier
1407923568
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BIODIAGNOSTIC LABORATORY SERVICES,LLC.
- Practice address
- 181 New Rd # 307
Parsippany, NJ 07054-5625 - Phone
- (973) 244-1601
- Fax
- (973) 244-1606
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Nicoll
- Title
- President
- Phone
- (973) 244-1601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NJ | Primary |
Addresses
Primary practice location
181 New Rd # 307
Parsippany, NJ 07054-5625
Mailing address
181 New Rd # 307
Parsippany, NJ 07054-5625
Phone (973) 244-1601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061352 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
185 Central Ave
Ste 507
East Orange, NJ 07018
Phone (973) 395-6500
181 New Rd
Ste 307
Parsippany, NJ 07054
Phone (973) 244-1601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1083705552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1407923568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 NEW RD # 307",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070545625",
"telephone_number": "973-244-1601",
"fax_number": "973-244-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 NEW RD # 307",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070545625",
"telephone_number": "973-244-1601",
"fax_number": "973-244-1606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIODIAGNOSTIC LABORATORY SERVICES,LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NICOLL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-244-1601",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0061352",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.