Idl Acquisition Co, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IDL ACQUISITION CO, LLC

Doing business as

MDx Laboratory Services

Practice address

357 Riverside Dr Ste 1001
Franklin, TN 37064-8996

Phone

(615) 465-6529

Fax

(615) 465-6531

NPI assigned

Mar 27, 2019

Last updated

Mar 27, 2019By 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

David McCrea

Title

Ceo

Phone

(615) 465-6529

Specialties & licenses 1

Addresses

Other names 1

• MDx Laboratory Services Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Insight Diagnostics LLC

  • Clinical Medical Laboratory
  • West Palm Beach, FL
  • NPI 1184051641

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1386105914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 RIVERSIDE DR STE 1001",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648996",
            "telephone_number": "615-465-6529",
            "fax_number": "615-465-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 RIVERSIDE DR STE 1001",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648996",
            "telephone_number": "615-465-6529",
            "fax_number": "615-465-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDL ACQUISITION CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-465-6529"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDx Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson Elizabeth Hutter
• Christina Huynh
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• Karen F Hyden, M.ED., MSN
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• Independent Physical Therapy
• Independent Physical Therapy LLC

• Clinical Medical Laboratory in Franklin, TN
• Providers in Franklin, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.