Bio-Rad Medical Laboratory,Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIO-RAD MEDICAL LABORATORY,INC.

Practice address

5817 W Roosevelt Rd
Cicero, IL 60804-1136

Phone

(708) 477-6617

Fax

(708) 477-6617

NPI assigned

Mar 11, 2009

Last updated

Mar 11, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Onesimo Flores Sr.

Title

Owner

Phone

(708) 652-5499

Specialties & licenses 1

Addresses

Tax ID family

Bio-Rad Medical Laboratoryinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Biorad Medical Laboratory,Inc.

  • Clinical Medical Laboratory
  • Cicero, IL
  • NPI 1952599532
  NPD tax ID

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1720229305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042301",
            "telephone_number": "708-477-6617",
            "fax_number": "708-477-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 W ROOSEVELT RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608041136",
            "telephone_number": "708-477-6617",
            "fax_number": "708-477-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-RAD MEDICAL LABORATORY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ONESIMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-652-5499",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emisa Bell
• Maya Benes, D.M.D.
• Pamela Benitez, MSW
• Darren Alexander Bennett, D.D.S.
• Yvatni Bennett
• Biorad Medical Laboratory,Inc.
• Randy Blaszczyk, CCC-SLP/L
• Board of Trustees Fo the University of Illinois (UIH-Mile Square Health Center at Cicero IHH)
• John Bolanos, PHARMD
• Yaritza Borjon, ATC

• Clinical Medical Laboratory in Cicero, IL
• Providers in Cicero, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.