- Practice location
- 125 Michael Dr Ste 106, Syosset, NY 11791-5311
- Phone
- 347-669-1693
- Fax
- 516-753-9964
- Last updated
- April 28, 2023
Miragenex LLC is a healthcare organization based in Syosset, NY. Miragenex LLC practices in Syosset, NY. The NPI Number for Miragenex LLC is 1205524014. The current practice location address for Miragenex LLC is 125 Michael Dr Ste 106, Syosset, NY 11791-5311 and can be reached out via phone at 347-669-1693 and via fax at 516-753-9964.
Provider Profile Details
- NPI Number
- 1205524014
- Provider Name
- Miragenex LLC
- Provider Entity Type
- Organization
- Address
- 125 Michael Dr Ste 106, Syosset, NY 11791-5311
- Phone Number
- 347-669-1693
- Fax Number
- 516-753-9964
- Primary Taxonomy
- Clinical Medical Laboratory · 291U00000X
- Organization Subpart
- No
- Authorized Official
- Mohamad A Khodair, MD · Owner · 347-669-1693
- Provider Enumeration Date
- April 28, 2023
- Last Update Date
- April 28, 2023
- Certification Date
- April 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 125 Michael Dr Ste 106
Syosset, NY 11791-5311 - City
- Syosset
- State
- New York
- Zip
- 11791-5311
- Phone Number
- 347-669-1693
- Fax Number
- 516-753-9964
Provider Business Mailing Address Details
- Address
- 24 Little Falls RD Ste E
Fairfield, NJ 07004-1913 - City
- Fairfield
- State
- NJ
- Zip
- 07004-1913
- Phone Number
- 347-669-1693
- Fax Number
- 516-753-9964
License Information
- Taxonomy
- Clinical Medical Laboratory · 291U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miragenex LLC?
The NPI number of Miragenex LLC is 1205524014. It was assigned on April 28, 2023 and is currently active in the NPPES registry.
What is the specialty of Miragenex LLC?
Miragenex LLC is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X).
Where does Miragenex LLC practice?
The practice location is 125 Michael Dr Ste 106, Syosset, NY 11791-5311. The office can be reached at 347-669-1693 (phone) or 516-753-9964 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205524014 directly on the NPPES registry website.