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NPI Code Detail

MEDICARE: CALIBERDX LAB, LLC

MEDICARE: CALIBERDX LAB, 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 : 1447084827
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIBERDX LAB, LLC
Provider Business Mailing Address
First Line : 17000 DALLAS PKWY STE 105
Second Line :
City : DALLAS
State : TX
Zip : 75248-1944
Country : US
Telephone Number : 972-914-2459
Fax Number :
Provider Business Practice Location Address
First Line : 17000 DALLAS PKWY STE 105
Second Line :
City : DALLAS
State : TX
Zip : 75248-1944
Country : US
Telephone Number : 972-914-2459
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EDDY THOMAS
Credential :
Telephone Number : 972-914-2459
Provider Enumeration Date : 08/28/2024
Last Update Date : 03/13/2025

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Directions to “CALIBERDX LAB, LLC ” Practice Location

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