Provider Demographics
NPI:1548974983
Name:BIOVICA INC
Entity type:Organization
Organization Name:BIOVICA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF THE AMERICAS
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-230-6044
Mailing Address - Street 1:13111 IBIS BLVD
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5993
Mailing Address - Country:US
Mailing Address - Phone:251-648-1135
Mailing Address - Fax:
Practice Address - Street 1:6195 CORNERSTONE CT E STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4728
Practice Address - Country:US
Practice Address - Phone:251-648-1135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory