MEDICARE: BIOMOLECULAR ENVIRONMENTAL SYNTHESIS AND TESTING LABORATORIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063509479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIOMOLECULAR ENVIRONMENTAL SYNTHESIS AND TESTING LABORATORIES INC

Provider Business Mailing Address
First Line	:	2822 S SARATOGA ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-5120
Country	:	US
Telephone Number	:	504-897-3833
Fax Number	:	504-891-2039

Provider Business Practice Location Address
First Line	:	2822 S SARATOGA ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-5120
Country	:	US
Telephone Number	:	504-897-3833
Fax Number	:	504-891-2039

Authorized Official
Title or Position	:	LABORATORY DIRECTOR
Name	:	DR. LOUIS X WASHINGTON SR.
Credential	:	PH.D.
Telephone Number	:	504-897-3833

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	08/22/2020

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