Healthcare Provider Details

I. General information

NPI: 1336075159
Provider Name (Legal Business Name): NOVATOX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W 1ST ST STE 209
SANTA ANA CA
92701-8206
US

IV. Provider business mailing address

210 W 1ST ST STE 209
SANTA ANA CA
92701-8206
US

V. Phone/Fax

Practice location:
  • Phone: 252-607-5696
  • Fax:
Mailing address:
  • Phone: 252-607-5696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SAED RAHMAT SADEGHI
Title or Position: OWNER
Credential: MD
Phone: 252-607-5696