Toxusa Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

15D2102246 Issued in IN

Legal business name

TOXUSA LABS LLC

Doing business as

ConnectDx Laboratories

Practice address

236 W Edison Rd
Suite 5
Mishawaka, IN 46545-3184

Phone

(574) 703-2272

Fax

(574) 343-1505

NPI assigned

Oct 21, 2015

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eyad Khadr

Title

Owner

Phone

(574) 703-2272

Specialties & licenses 1

Addresses

Other names 1

• ConnectDx Laboratories Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1073985727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W EDISON RD",
            "address_2": "SUITE 5",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453184",
            "telephone_number": "574-703-2272",
            "fax_number": "574-343-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W EDISON RD",
            "address_2": "SUITE 5",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453184",
            "telephone_number": "574-703-2272",
            "fax_number": "574-343-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOXUSA LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "KHADR",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-703-2272"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "15D2102246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ConnectDx Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Grace Tomlinson
• Chelsea Torres, BCBA
• Total Renal Care Inc (Mishawaka Dialysis)
• Paula Toth-Russell, M.D.
• Abigail Nicole Toth
• Binh Nguyen Tran, MD
• Transitions Dental Company (University Meadows Family Dental)
• Jeanette M Treuchet, CMT
• Daniel J Triezenberg, MD
• Trinity Healthcare Inc. (Triune Home Health Partners)

• Clinical Medical Laboratory in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.