Active NPI
Bioreference Health, LLC
- Clinical Medical Laboratory
- Columbus, OH
National Provider Identifier
1609148782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 36D0329538
- Legal business name
- BIOREFERENCE HEALTH, LLC
- Practice address
- 810 Jasonway Ave
Ste a
Columbus, OH 43214-4359 - Phone
- (800) 229-5227
- Fax
- (201) 791-1941
- NPI assigned
- Feb 3, 2012
- Organization subpart
- Yes
- Parent organization
- BIOREFERENCE HEALTH, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Schmid
- Title
- SVP, Chief Financial Officer
- Phone
- (201) 791-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 36D0329538 | OH | Primary |
Addresses
Primary practice location
810 Jasonway Ave
Ste a
Columbus, OH 43214-4359
Mailing address
481 Edward H Ross Dr
Elmwood Park, NJ 07407-3118
Phone (800) 229-5227
Other names 1
- Bio-Reference Laboratories, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110824000078 | OH | Part B Supplier - Independent Clinical Laboratory | 4486600129 |
1 other NPI on this enrollment Practice locations: Columbus, OH |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Elmwood Park, NJ
- NPI 1134277494
O20110824000078
National Provider Directory
National Provider Directory- Tax ID family
- Bio Reference Lab Inc
- Part of
- Bio Reference Lab Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Elmwood Park, NJ
- NPI 1073863270
-
- Clinical Medical Laboratory
- Spring Valley, NY
- NPI 1972327666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1609148782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 EDWARD H ROSS DR",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074073118",
"telephone_number": "800-229-5227",
"fax_number": "201-791-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 JASONWAY AVE",
"address_2": "STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144359",
"telephone_number": "800-229-5227",
"fax_number": "201-791-1941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOREFERENCE HEALTH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BIOREFERENCE HEALTH, LLC",
"enumeration_date": "2012-02-03",
"last_updated": "2024-03-26",
"certification_date": "2024-03-22",
"status": "A",
"authorized_official_last_name": "SCHMID",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "SVP, CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "201-791-2600"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OH",
"license": "36D0329538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bio-Reference Laboratories, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.