Directmdx, INC
Clinical Medical Laboratory in Racine, WI. Organization (NPI-2).
NPI number1417569724
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1417569724
- Entity type
- Organization (NPI-2)
- Legal business name
- Directmdx, INC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
800 Center StRacine, WI 53403-1481
Phone 414-422-5957
Mailing address
1 Main StRacine, WI 53403-1079
Authorized official
Robert Chou
Ceo
4144225957
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