Organization
ONYXCARE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX J BROOKS PHARMD (CEO)
(769) 572-2910
Entity
Organization
Contact information
Practice address
405 BRIARWOOD DR STE 108C, JACKSON, MS 39206-3032
(769) 572-2910
Mailing address
405 BRIARWOOD DR STE 108C, JACKSON, MS 39206-3032
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25D2247566
CLIA
MS
Enumeration date
01/03/2022
Last updated
05/26/2022
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