Provider Demographics
NPI:1932825916
Name:CHROMODX, LLC
Entity Type:Organization
Organization Name:CHROMODX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CASEY
Authorized Official - Last Name:HONEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-226-1300
Mailing Address - Street 1:10809 EXECUTIVE CENTER DR STE 319
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4390
Mailing Address - Country:US
Mailing Address - Phone:501-226-1300
Mailing Address - Fax:
Practice Address - Street 1:10809 EXECUTIVE CENTER DR STE 319
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4390
Practice Address - Country:US
Practice Address - Phone:501-226-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory