Healthcare Provider Details

I. General information

NPI: 1740199652
Provider Name (Legal Business Name): BIO CONTINENTAL DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 LATHAM ST STE C2
RIVERSIDE CA
92501-1780
US

IV. Provider business mailing address

75 EXECUTIVE DR STE 313H
AURORA IL
60504-8152
US

V. Phone/Fax

Practice location:
  • Phone: 773-828-7765
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: UNKNOWN NASER BIN AHMED
Title or Position: MANAGING DIRECTOR
Credential: MD
Phone: 224-254-3972