Organization
INFORM DIAGNOSTICS, INC.
Active
Organization
INFORM DIAGNOSTICS, INC.
Active
Other names
(f/k/a Miraca Life Sciences, (f/k/a Caris Diagnostics, Inc.)
Organization subpart
No
Provider details
NPI number
Authorized official
JIAN XIE (COO)
(626) 350-0537
Entity
Organization
Contact information
Practice address
501 N 44TH ST STE 200, PHOENIX, AZ 85008-6535
(866) 588-3280
(972) 767-0225
Mailing address
1111 S FREEPORT PKWY, ATTN: PROVIDER ENROLLMENT/CREDENTIALING, COPPELL, TX 75019-4435
(866) 588-3280
(972) 767-0225
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/12/2008
Last updated
11/17/2025
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