Healthcare Provider Details

I. General information

NPI: 1508619693
Provider Name (Legal Business Name): NEWBIO LABS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 CATON FARM RD STE O
PLAINFIELD IL
60586-8123
US

IV. Provider business mailing address

7000 CATON FARM RD STE O
PLAINFIELD IL
60586-8123
US

V. Phone/Fax

Practice location:
  • Phone: 630-388-8931
  • Fax:
Mailing address:
  • Phone: 630-388-8931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ALEX BUSS
Title or Position: PRESIDENT
Credential:
Phone: 630-388-8931