Organization Active NPI

Biodiagnostic Laboratory Services,LLC.

  • Clinical Medical Laboratory
  • Parsippany, NJ
National Provider Identifier
1407923568
Registry record updated Jul 21, 2022
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0061352MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.