Active NPI
Onyxcare Diagnostics, LLC
- Clinical Medical Laboratory
- Jackson, MS
National Provider Identifier
1245991165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alex J Brooks, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25D2247566 | Other | MS | CLIA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Jackson, MS
- NPI 1316608235
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.