Active NPI
Mdxhealth, Inc.
- Clinical Medical Laboratory
- Irvine, CA
National Provider Identifier
1720359698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF00341675
- Legal business name
- MDXHEALTH, INC.
- Practice address
- 15279 Alton Pkwy
Suite 100
Irvine, CA 92618-2321 - Phone
- (949) 812-6979
- Fax
- (949) 242-2960
- NPI assigned
- Jan 24, 2012
- 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
- Mr. Ron Kalfus
- Title
- Cfo
- Phone
- (866) 259-5644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF00341675 | CA | Primary |
Addresses
Primary practice location
15279 Alton Pkwy
Suite 100
Irvine, CA 92618-2321
Mailing address
15279 Alton Pkwy
Suite 100
Irvine, CA 92618-2321
Phone (949) 812-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120711000228 | CA | Part B Supplier - Independent Clinical Laboratory | 0143485466 | Practice locations: Irvine, CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
Locations
15279 Alton Pkwy
Ste 100
Irvine, CA 92618
Phone (949) 812-6979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650672000000",
"number": "1720359698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15279 ALTON PKWY",
"address_2": "SUITE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182321",
"telephone_number": "949-812-6979",
"fax_number": "949-242-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15279 ALTON PKWY",
"address_2": "SUITE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182321",
"telephone_number": "949-812-6979",
"fax_number": "949-242-2960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDXHEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-24",
"last_updated": "2022-04-23",
"certification_date": "2022-04-23",
"status": "A",
"authorized_official_last_name": "KALFUS",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "866-259-5644",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF00341675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.