=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407790462
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MINDX SCIENCES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2026
-----------------------------------------------------
Last Update Date | 04/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 351 W 10TH ST
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46202-4118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-220-8590
-----------------------------------------------------
Fax | 317-663-2177
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 351 W 10TH ST
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46202-4118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-220-8590
-----------------------------------------------------
Fax | 317-663-2177
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ALEXANDER NICULESCU
-----------------------------------------------------
Credential | MD, PHD
-----------------------------------------------------
Telephone | 619-723-5722
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------