Provider Demographics
NPI:1659043503
Name:PLEXUSDX INC
Entity Type:Organization
Organization Name:PLEXUSDX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-719-4425
Mailing Address - Street 1:6110 MCFARLAND STATION DR UNIT 604
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6808
Mailing Address - Country:US
Mailing Address - Phone:470-300-8838
Mailing Address - Fax:
Practice Address - Street 1:6110 MCFARLAND STATION DR UNIT 604
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6808
Practice Address - Country:US
Practice Address - Phone:470-300-8838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory