Organization Active NPI

Bioreference Health, LLC

  • Clinical Medical Laboratory
  • Columbus, OH
National Provider Identifier
1609148782
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0329538 Issued in OH
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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)CodeLicenseStatePrimary
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. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Bio Reference Lab Inc3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.