Organization Active NPI

Carenexa, LLC

  • Clinical Medical Laboratory
  • Irving, TX
National Provider Identifier
1003517533
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CARENEXA, LLC
Practice address
8411 Sterling St Ste 102
Irving, TX 75063-2568
Phone
(564) 888-2204
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rene Nicole Hurst-Wall
Title
Senior Manager Payor Relations
Phone
(360) 208-0758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8411 Sterling St Ste 102
Irving, TX 75063-2568

Mailing address

PO Box 84770
Seattle, WA 98124-6070
Phone (360) 693-8850

Other names 1

  • Molecular Testing Labs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424000889 TX Part B Supplier - Independent Clinical Laboratory 0345495206 Practice locations: Irving, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2278063Molecular Testing Labs8411 Sterling St Suite 102, Irving, TX 75063AccreditationDec 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Carenexa LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8411 Sterling St
Ste 102
Irving, TX 75063
Phone (564) 888-2204

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1003517533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84770",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246070",
            "telephone_number": "360-693-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 STERLING ST STE 102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632568",
            "telephone_number": "564-888-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARENEXA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "HURST-WALL",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SENIOR MANAGER PAYOR RELATIONS",
        "authorized_official_telephone_number": "360-208-0758"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molecular Testing Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.