Provider Demographics
NPI:1669249975
Name:SOLARIS DX, LLC
Entity type:Organization
Organization Name:SOLARIS DX, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PREETPAL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SIDHU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:844-550-0308
Mailing Address - Street 1:110 DEWEY DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-7123
Mailing Address - Country:US
Mailing Address - Phone:844-550-0308
Mailing Address - Fax:859-305-6105
Practice Address - Street 1:8202 CLEARVISTA PKWY STE 5A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1431
Practice Address - Country:US
Practice Address - Phone:844-550-0308
Practice Address - Fax:859-305-6105
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DX SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-06
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory