Biorad Medical Laboratory,Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIORAD MEDICAL LABORATORY,INC.

Practice address

5817 W Roosevelt Rd
Cicero, IL 60804-1136

Phone

(708) 692-5499

NPI assigned

Oct 9, 2007

Last updated

Oct 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

BIORAD MEDICAL LABORATORY,INC.As reported in NPPES

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

Authorized official

Name

Mr. Onesimo Flores Sr.

Title

Owner

Phone

(708) 692-5499

Specialties & licenses 1

Addresses

Other names 1

• BIORAD MEDICAL LABORATORY,INC. Other name

Tax ID family

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

Part of

Bio-Rad Medical Laboratoryinc

Other organizations with this tax ID 1

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

• Bio-Rad Medical Laboratory,Inc.

  • Clinical Medical Laboratory
  • Cicero, IL
  • NPI 1720229305
  NPD tax ID

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1952599532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 W ROOSEVELT RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608041136",
            "telephone_number": "708-692-5499"
        },
        {
            "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": "708-692-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIORAD MEDICAL LABORATORY,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIORAD MEDICAL LABORATORY,INC.",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ONESIMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-692-5499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIORAD MEDICAL LABORATORY,INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maya Benes, D.M.D.
• Pamela Benitez, MSW
• Darren Alexander Bennett, D.D.S.
• Yvatni Bennett
• Bio-Rad 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
• Braces Town PC

• 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 Oct 20, 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.