Provider Demographics
NPI:1306283999
Name:SALADAX BIOMEDICAL INC.
Entity type:Organization
Organization Name:SALADAX BIOMEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-419-6731
Mailing Address - Street 1:116 RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-4731
Mailing Address - Country:US
Mailing Address - Phone:610-419-6731
Mailing Address - Fax:610-849-5001
Practice Address - Street 1:116 RESEARCH DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-4731
Practice Address - Country:US
Practice Address - Phone:610-419-6731
Practice Address - Fax:610-849-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA39D2052285291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory