Organization Active NPI

Nursedx Laboratory LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1578347290
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NURSEDX LABORATORY LLC
Practice address
1720 Regal Row Ste 214
Dallas, TX 75235-2234
Phone
(844) 886-3328
Fax
(844) 782-8329
NPI assigned
Aug 23, 2023
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Benoit Malvitz
Title
Owner
Phone
(725) 300-0538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1720 Regal Row Ste 214
Dallas, TX 75235-2234

Mailing address

6392 McLeod Dr Ste 9
Las Vegas, NV 89120-4417
Phone (725) 300-0538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927003692 TX Part B Supplier - Independent Clinical Laboratory 4688028475 Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2287685Nursedx Laboratory, LLC1720 Regal Row Suite 214, Dallas, TX 75235AccreditationJun 17, 2028

National Provider Directory

National Provider Directory

Locations

1720 Regal Row
Ste 214
Dallas, TX 75235
Phone (844) 886-3328

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1578347290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6392 MCLEOD DR STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204417",
            "telephone_number": "725-300-0538",
            "fax_number": "866-246-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 REGAL ROW STE 214",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352234",
            "telephone_number": "844-886-3328",
            "fax_number": "844-782-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSEDX LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "MALVITZ",
        "authorized_official_first_name": "BENOIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-300-0538"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.