MEDICARE: HDX LABS 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	:	1245921329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HDX LABS LLC

Provider Business Mailing Address
First Line	:	8813 N TARRANT PKWY STE 250
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-8419
Country	:	US
Telephone Number	:	817-313-1885
Fax Number	:	770-206-2366

Provider Business Practice Location Address
First Line	:	8465 MERCHANTS WAY STE 206
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-2858
Country	:	US
Telephone Number	:	904-588-2164
Fax Number	:	770-206-2366

Authorized Official
Title or Position	:	OWNER
Name	:	CHRIS COKER
Credential	:
Telephone Number	:	817-313-1885

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	09/12/2024

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Directions to “HDX LABS LLC ” Practice Location

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