Organization Active NPI

Onyxcare Diagnostics, LLC

  • Clinical Medical Laboratory
  • Jackson, MS
National Provider Identifier
1245991165
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ONYXCARE DIAGNOSTICS, LLC
Practice address
405 Briarwood Dr Ste 108C
Jackson, MS 39206-3032
Phone
(769) 572-2910
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Dr. Alex J Brooks, PHARMDNPI 1316608235
Title
Ceo
Phone
(769) 572-2910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

405 Briarwood Dr Ste 108C
Jackson, MS 39206-3032

Mailing address

405 Briarwood Dr Ste 108C
Jackson, MS 39206-3032

Other identifiers 1

IdentifierTypeStateIssuer
25D2247566OtherMSCLIA

National Provider Directory

National Provider Directory

Locations

405 Briarwood Dr
Ste 108C
Jackson, MS 39206
Phone (769) 572-2910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1245991165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR STE 108C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR STE 108C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063032",
            "telephone_number": "769-572-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYXCARE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "769-572-2910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "25D2247566",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.