Active NPI
Carenexa, LLC
- Clinical Medical Laboratory
- Irving, TX
National Provider Identifier
1003517533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2278063 | Molecular Testing Labs | Accreditation | Dec 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Carenexa LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Vancouver, WA
- NPI 1790021517
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.