MEDICARE: AMEDIX

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	:	1255922605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMEDIX

Provider Business Mailing Address
First Line	:	1500 CARDINAL DR STE 100
Second Line	:
City	:	LITTLE FALLS
State	:	NJ
Zip	:	07424-1640
Country	:	US
Telephone Number	:	888-826-3349
Fax Number	:	888-826-3349

Provider Business Practice Location Address
First Line	:	1500 CARDINAL DR STE 100
Second Line	:
City	:	LITTLE FALLS
State	:	NJ
Zip	:	07424-1640
Country	:	US
Telephone Number	:	888-826-3349
Fax Number	:	888-826-3349

Authorized Official
Title or Position	:	PRESIDENT/OWNER/CEO
Name	:	MR. JANIK IZRAEL
Credential	:
Telephone Number	:	347-628-5009

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	09/12/2025

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Directions to “AMEDIX ” Practice Location

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