OrganizationBiotab Llc(Biotab Healthcare)Durable Medical Equipment & Medical SuppliesSuppliersPractice Address11701 Borman Dr Ste 107, Saint Louis, MO 63146-4100(877) 246-8220PECOS EnrollmentBased on the most recent information from CMS, provider Biotab Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1124124953Provider TypeOrganizationFull NameBiotab LlcOther NameBiotab HealthcareSubpartNoEnumeration Date9/16/2006Last Updated12/30/2020Contact InformationPractice LocationPractice Address11701 Borman Dr Ste 107, Saint Louis, MO 63146-4100Phone(877) 246-8220FaxUnlisted FaxMailing LocationMailing Address11701 Borman Dr Ste 107, Saint Louis, MO 63146-4100Phone(877) 246-8220FaxUnlisted FaxAuthorized OfficialNameBacich, Tim (Owner)Phone(314) 812-3949Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID184836DescriptionOtherIssuerANTHEM BLUE CROSS