Coredx Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COREDX CLINICAL LABORATORY LLC

Practice address

17740 Preston Rd
Dallas, TX 75252-5840

Phone

(979) 329-0430

NPI assigned

Mar 11, 2026

Organization subpart

No

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

Authorized official

Name

Habeebullah Khan Mohammed

Title

Owner

Phone

(979) 329-0430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1326995291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17740 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525840",
            "telephone_number": "979-329-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17740 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525840",
            "telephone_number": "979-329-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREDX CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "KHAN MOHAMMED",
        "authorized_official_first_name": "HABEEBULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-329-0430"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherryl Daigre Cordum, R.PH
• Core Dental Co PLLC
• Core Integrative Medical Solutions PLLC
• Core P.C.
• Corecap Solutions LLC
• Morgan Coren, MD
• Corenexa Organising LLC
• John Corey, D.D.S.
• Nicole L Corey, LPC-A, MA
• Jesse Corfield, LPC

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.