MEDICARE: CONSULTSRX LIMITED LIABILITY COMPANY

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1518848779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSULTSRX LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	11709 FRUEHAUF DR STE 105
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-7285
Country	:	US
Telephone Number	:	443-401-1882
Fax Number	:

Provider Business Practice Location Address
First Line	:	11709 FRUEHAUF DR STE 105
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-7285
Country	:	US
Telephone Number	:	443-401-1882
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	SRIKANTH GUNDAPINNI
Credential	:
Telephone Number	:	443-401-1882

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	02/19/2026

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