MD Tox Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2040304 Issued in CA

Legal business name

MD TOX LABORATORY

Practice address

1565 McGaw Ave Ste B
Irvine, CA 92614-5670

Phone

(949) 491-8080

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David White Jr.

Title

Ceo

Phone

(949) 491-8080

Specialties & licenses 4

Addresses

Other names 1

• Innovative Health Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

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

Locations

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1174882948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MCGAW AVE STE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145670",
            "telephone_number": "949-491-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 MCGAW AVE STE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145670",
            "telephone_number": "949-491-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD TOX LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-491-8080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207SM0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2040304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Health Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander McPheters, B.S.
• Deena McRae, M.D.
• Erin McVay
• Kelly Scott McWilliams
• MD Advance Inc
• MD8 Investments LLC
• MDPD Specialists
• Mdxhealth, Inc.
• Andrea Dione Meacham, CNM
• Emily Mead

• Clinical Medical Laboratory in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.