Organization Active NPI

Bio-Lab, Inc.

  • Clinical Medical Laboratory
  • Milford, MA
National Provider Identifier
1437202942
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIO-LAB, INC.
Practice address
215 West St
Milford, MA 01757-2277
Phone
(508) 478-6226
Fax
(508) 473-3565
NPI assigned
Jan 19, 2007
Last updated
Jul 21, 2022By the provider in NPPES
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. Raouf Fanous
Title
President
Phone
(508) 478-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MA Primary

Addresses

Primary practice location

215 West St
Milford, MA 01757-2277

Mailing address

215 West St
Milford, MA 01757-2277
Phone (508) 478-6226

Other identifiers 1

IdentifierTypeStateIssuer
0802611MedicaidMA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437202942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572277",
            "telephone_number": "508-478-6226",
            "fax_number": "508-473-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572277",
            "telephone_number": "508-478-6226",
            "fax_number": "508-473-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FANOUS",
        "authorized_official_first_name": "RAOUF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-478-6226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802611",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.