Provider Demographics
NPI:1720359698
Name:MDXHEALTH, INC.
Entity Type:Organization
Organization Name:MDXHEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:KALFUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-259-5644
Mailing Address - Street 1:15279 ALTON PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2321
Mailing Address - Country:US
Mailing Address - Phone:949-812-6979
Mailing Address - Fax:949-242-2960
Practice Address - Street 1:15279 ALTON PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2321
Practice Address - Country:US
Practice Address - Phone:949-812-6979
Practice Address - Fax:949-242-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF00341675291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory