MEDICARE: COREAXIS LABS INC

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	:	1952239840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COREAXIS LABS INC

Provider Business Mailing Address
First Line	:	7796 CAPITAL PEAK LN W APT 203
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-1565
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7796 CAPITAL PEAK LN W APT 203
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-1565
Country	:	US
Telephone Number	:	213-772-0419
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MUHAMMAD KARIM
Credential	:
Telephone Number	:	213-772-0419

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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