MEDICARE: CARENEXA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1003517533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARENEXA, LLC

Provider Business Mailing Address
First Line	:	PO BOX 84770
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-6070
Country	:	US
Telephone Number	:	360-693-8850
Fax Number	:

Provider Business Practice Location Address
First Line	:	8411 STERLING ST STE 102
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-2568
Country	:	US
Telephone Number	:	564-888-2204
Fax Number	:

Authorized Official
Title or Position	:	SENIOR MANAGER PAYOR RELATIONS
Name	:	RENE NICOLE HURST-WALL
Credential	:
Telephone Number	:	360-208-0758

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	11/08/2024

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