Directmdx, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DIRECTMDX, INC

Practice address

800 Center St
Racine, WI 53403-1481

Phone

(414) 422-5957

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Robert Chou

Title

Ceo

Phone

(414) 422-5957

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1417569724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CENTER ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031481",
            "telephone_number": "414-422-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTMDX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-422-5957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Dewalt
• Josephine Ann Diedrich, RPH
• Jamie L Dieter
• Anna Lorraine Alcid Digdigan, PT
• Layla Dinkha, MB CH B
• Desiree Dizadji, MD
• DJ Kontra MD & Associates SC
• Kati Dobbs
• Stephanie Doerr
• Meaghan Kaitlin Doherty, M.D.

• Clinical Medical Laboratory in Racine, WI
• Providers in Racine, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.