Provider Demographics
NPI:1588276885
Name:INFINITY BIOLOGIX LLC
Entity type:Organization
Organization Name:INFINITY BIOLOGIX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELGA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:848-445-2008
Mailing Address - Street 1:145 BEVIER RD
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-8009
Mailing Address - Country:US
Mailing Address - Phone:848-445-2008
Mailing Address - Fax:732-445-1147
Practice Address - Street 1:604 ALLISON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-8000
Practice Address - Country:US
Practice Address - Phone:848-445-7037
Practice Address - Fax:732-445-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory