Healthcare Provider Details

I. General information

NPI: 1073447793
Provider Name (Legal Business Name): TRUTEST DX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12955 SW 132ND ST STE 203
MIAMI FL
33186-6224
US

IV. Provider business mailing address

12955 SW 132ND ST STE 203
MIAMI FL
33186-6224
US

V. Phone/Fax

Practice location:
  • Phone: 747-277-6162
  • Fax: 800-701-6615
Mailing address:
  • Phone: 747-277-6162
  • Fax: 800-701-6615

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: ADLAN BORCHASVILI
Title or Position: OWNER
Credential:
Phone: 747-277-6162