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NPI Code Detail

MEDICARE: GENDX LLC

MEDICARE: GENDX LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1427902337
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENDX LLC
Provider Business Mailing Address
First Line : 6392 MCLEOD DR STE 9
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4417
Country : US
Telephone Number : 949-503-0059
Fax Number :
Provider Business Practice Location Address
First Line : 1720 REGAL ROW STE 213
Second Line :
City : DALLAS
State : TX
Zip : 75235-2299
Country : US
Telephone Number : 949-503-0059
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : ARLENE GAYARES
Credential :
Telephone Number : 949-503-0059
Provider Enumeration Date : 02/26/2026
Last Update Date : 02/26/2026

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Directions to “GENDX LLC ” Practice Location

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