Provider Demographics
NPI:1619651056
Name:FLUXERGY
Entity Type:Organization
Organization Name:FLUXERGY
Other - Org Name:CARTER LABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KALIOUNDJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-994-9903
Mailing Address - Street 1:30 FAIRBANKS STE 110
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-1688
Mailing Address - Country:US
Mailing Address - Phone:949-305-4201
Mailing Address - Fax:
Practice Address - Street 1:30 FAIRBANKS STE 110
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-1688
Practice Address - Country:US
Practice Address - Phone:949-305-4201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory