MEDICARE: BIZ INFO TECH CONSULTING SOLUTIONS, LLC

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	247ZC0005X	Clinical Laboratory Director (Non-physician)
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1629739255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIZ INFO TECH CONSULTING SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	550 PHARR RD NE STE 200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3433
Country	:	US
Telephone Number	:	678-973-0045
Fax Number	:	678-732-0256

Provider Business Practice Location Address
First Line	:	550 PHARR RD NE STE 200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3433
Country	:	US
Telephone Number	:	678-973-0045
Fax Number	:	678-732-0256

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HASSAN CHOUDHURY
Credential	:	EMBA
Telephone Number	:	678-973-0045

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	01/05/2022

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