Bio Labs USA, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0009669 Issued in NJ

Legal business name

BIO LABS USA, INC

Doing business as

Platinum Diagnostic Lab
Platinum Diagnostic Laboratory

Practice address

1026 W Elizabeth Ave
Linden, NJ 07036-6341

Phone

(201) 636-2705

Fax

(201) 636-2708

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Maryanne Amato-Ferri

Title

Authorized Official

Phone

(201) 636-2705

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• PLATINUM DIAGNOSTIC LAB Doing business as
• Platinum Diagnostic Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1841592664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 W ELIZABETH AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366341",
            "telephone_number": "201-636-2705",
            "fax_number": "201-636-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W ELIZABETH AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366341",
            "telephone_number": "201-636-2705",
            "fax_number": "201-636-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO LABS USA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "AMATO-FERRI",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "201-636-2705"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "0009669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7209100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLATINUM DIAGNOSTIC LAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PLATINUM DIAGNOSTIC LAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Platinum Diagnostic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Linden, NJ
• Providers in Linden, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.