Provider Demographics
NPI:1053424218
Name:B & M OXIMETRY LAB, INC.
Entity type:Organization
Organization Name:B & M OXIMETRY LAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MONROIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-621-4299
Mailing Address - Street 1:2351 SW PLUM CT
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-5768
Mailing Address - Country:US
Mailing Address - Phone:772-621-4299
Mailing Address - Fax:772-621-4195
Practice Address - Street 1:2351 SW PLUM CT
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-5768
Practice Address - Country:US
Practice Address - Phone:772-621-4299
Practice Address - Fax:772-621-4195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL729920041019293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAZ37651OtherBC BS OF MASS
NJ7802OUTOFSTATEOtherHORIZON BC BS OF NJ
TXC E1728OtherUNITED AMERICAN INSURANCE
RIHDM0010168OtherBC BS OF RI
PAHIGHMARK BLUESHIELDOtherHIGHMARK BLUESHEILD
CA1507919OtherUNITED MINE WORKERS OF AM
CTE1728FLOtherANTHEM
FLV1927OtherBC BS OF FLORIDA
PA=========OtherAARP
CA1507919OtherUNITED MINE WORKERS OF AM
GA=========OtherUNITED HEALTHCARE
FL=========OtherAMERICAN PIONEER
MAZ37651OtherBC BS OF MASS
FL=========OtherAMERICAN PIONEER