Luciddx Labs, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LUCIDDX LABS, INC

Practice address

1110 Cottonwood LN Ste 208
Irving, TX 75038-6111

Phone

(888) 582-4339

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Natalie Carfora

Title

Vice President, Market Access

Phone

(914) 924-4474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Luciddx Labs, Inc

  • Clinical Medical Laboratory
  • Lake Forest, CA
  • NPI 1689325342

  6709262587

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Luciddx Labs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luciddx Labs, Inc

  • Clinical Medical Laboratory
  • Lake Forest, CA
  • NPI 1689325342
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lishan Aklog, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Phoenix, AZ
  • NPI 1801817937
  NPD (past)

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1780419242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 208",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386111",
            "telephone_number": "888-582-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 208",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386111",
            "telephone_number": "888-582-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIDDX LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "CARFORA",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "VICE PRESIDENT, MARKET ACCESS",
        "authorized_official_telephone_number": "914-924-4474"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luann K Hassan, M.D., P.a.
• Jacqueline Denise Lucas-Buck, FAMILY NURSE PRACTIT
• Raven Lucas, M.ED., LPC
• Tonya Mischell Lucas, CPNP-PC
• Lucent Freight Services LLC
• Lucky Dental PLLC
• Jacquelyn Ludlam, OTR/L
• Ludwig Diversified Enterprises, Inc.
• Jude Lugari, RBT
• Lumin ER Partners, LLC

• Clinical Medical Laboratory in Irving, TX
• Providers in Irving, 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 Sep 4, 2024; 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.