Provider Demographics
NPI:1740519446
Name:RESEARCHDX INC
Entity type:Organization
Organization Name:RESEARCHDX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:D
Authorized Official - Last Name:COTTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, FACMG
Authorized Official - Phone:510-332-0477
Mailing Address - Street 1:5 MASON
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2552
Mailing Address - Country:US
Mailing Address - Phone:949-812-6902
Mailing Address - Fax:949-297-3983
Practice Address - Street 1:5 MASON
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2552
Practice Address - Country:US
Practice Address - Phone:949-812-6902
Practice Address - Fax:949-297-3983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF339055291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory