MEDICARE: ZYREX DIAGNOSTICS 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	246QL0900X	Laboratory Management Specialist/Technologist
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1992634182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZYREX DIAGNOSTICS LLC

Provider Business Mailing Address
First Line	:	2450 HOLLYWOOD BLVD STE 702
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6619
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2450 HOLLYWOOD BLVD STE 702
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6619
Country	:	US
Telephone Number	:	954-395-0100
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. RICCADO ALEXANDRE
Credential	:
Telephone Number	:	954-395-0100

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ZYREX DIAGNOSTICS LLC ” Practice Location

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