Healthcare Provider Details

I. General information

NPI: 1992634182
Provider Name (Legal Business Name): ZYREX DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 HOLLYWOOD BLVD STE 702
HOLLYWOOD FL
33020-6619
US

IV. Provider business mailing address

2450 HOLLYWOOD BLVD STE 702
HOLLYWOOD FL
33020-6619
US

V. Phone/Fax

Practice location:
  • Phone: 954-395-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. RICCADO ALEXANDRE
Title or Position: MANAGER
Credential:
Phone: 954-395-0100