Provider Demographics
NPI:1235014473
Name:AL REFAE, ALI
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:AL REFAE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 E ARAPAHO RD STE 240
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2453
Mailing Address - Country:US
Mailing Address - Phone:847-915-8226
Mailing Address - Fax:
Practice Address - Street 1:1350 E ARAPAHO RD STE 240
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2453
Practice Address - Country:US
Practice Address - Phone:847-915-8226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician