Provider Demographics
NPI:1427795806
Name:TRUDX LLC
Entity type:Organization
Organization Name:TRUDX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PUJA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-650-8702
Mailing Address - Street 1:480 N SAM HOUSTON PKWY E STE 382
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3587
Mailing Address - Country:US
Mailing Address - Phone:281-798-7522
Mailing Address - Fax:
Practice Address - Street 1:480 N SAM HOUSTON PKWY E STE 382
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3587
Practice Address - Country:US
Practice Address - Phone:281-798-7522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1427795806Medicaid