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NPI Code Detail

MEDICARE: CONSULTSRX LIMITED LIABILITY COMPANY

MEDICARE: CONSULTSRX LIMITED LIABILITY COMPANY
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1518848779
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSULTSRX LIMITED LIABILITY COMPANY
Provider Business Mailing Address
First Line : 11709 FRUEHAUF DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-7284
Country : US
Telephone Number : 980-277-1579
Fax Number :
Provider Business Practice Location Address
First Line : 11709 FRUEHAUF DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-7284
Country : US
Telephone Number : 202-499-6228
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : SRIKANTH GUNDAPINNI
Credential :
Telephone Number : 980-277-1579
Provider Enumeration Date : 09/11/2025
Last Update Date : 12/05/2025

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