Organization
IDTOX PLLC
Active
Organization
IDTOX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHID IDRISSI MD (PRESIDENT)
(919) 359-8643
Entity
Organization
Contact information
Practice address
104 STATE AVE, SUITE 104, CLAYTON, NC 27520-5116
(919) 243-1831
(919) 243-1830
Mailing address
104 STATE AVE STE 101-104, CLAYTON, NC 27520-5116
(919) 243-1831
(919) 243-1830
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
212822
NC
Other
Enumeration date
01/14/2016
Last updated
08/19/2022
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