NPI Code Details Logo

NPI 1063264497

NPI 1063264497 : CARE BIO CLINICAL CORP : BUDD LAKE, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063264497
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CARE BIO CLINICAL CORP 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/01/2024
-----------------------------------------------------
    Last Update Date     |    04/01/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    100 INTERNATIONAL DR 
-----------------------------------------------------
    City                 |    BUDD LAKE
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07828-1383
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    888-522-7247
-----------------------------------------------------
    Fax                  |    929-252-9176
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1631 VENTURA BLVD, SUITE 888
-----------------------------------------------------
    City                 |    ENCINO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91436-2124
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-789-2585
-----------------------------------------------------
    Fax                  |    929-252-9176
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CREDENTIALING
-----------------------------------------------------
    Name                 |     WOLF  HOFFMAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    718-534-5227
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    291U00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Medical Laboratory
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.