Provider Demographics
NPI:1245937325
Name:BILLIONTOONE INC
Entity type:Organization
Organization Name:BILLIONTOONE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CREDENTIALING & CONTRACTS COOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WASKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-607-4884
Mailing Address - Street 1:PO BOX 8040
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60197-8040
Mailing Address - Country:US
Mailing Address - Phone:616-607-4884
Mailing Address - Fax:866-243-4198
Practice Address - Street 1:1035 OBRIEN DR
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-1408
Practice Address - Country:US
Practice Address - Phone:616-607-4884
Practice Address - Fax:866-243-4198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0088270Medicaid
CA1245937325Medicaid
NC1245937325Medicaid
AR334198709Medicaid
GA003322997AMedicaid
CA05D2275351OtherCLIA CERTIFICATE
MN1245937325Medicaid
FL1248772800Medicaid
VA30015266820005Medicaid
SCL01100Medicaid
CACA384475Medicaid
TNQ107850Medicaid
WA2302711Medicaid
AL349078Medicaid
MD451074701Medicaid
AZ167293Medicaid
UT4294420Medicaid
CO9000235262Medicaid
NE10026909901Medicaid
PA103975820-0001Medicaid