Healthcare Provider Details

I. General information

NPI: 1922925155
Provider Name (Legal Business Name): NOVADX CLINICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 NW 183RD ST STE 116
MIAMI GARDENS FL
33169-4518
US

IV. Provider business mailing address

99 NW 183RD ST STE 116
MIAMI GARDENS FL
33169-4518
US

V. Phone/Fax

Practice location:
  • Phone: 786-332-8853
  • Fax: 305-418-7421
Mailing address:
  • Phone: 786-332-8853
  • Fax: 305-418-7421

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: JULIO CASTRO
Title or Position: OWNER
Credential:
Phone: 786-332-8853