Active NPI
Majid Moridani
- Clinical Laboratory Director (Non-physician)
- Plano, TX
National Provider Identifier
1003245937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- Practice address
- 5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595 - Phone
- (414) 949-1355
- NPI assigned
- Nov 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | Primary |
Addresses
Primary practice location
5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595
Mailing address
5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595
Phone (414) 949-1355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prudent Laboratories | Health Service | Current | Accepting new patients |
| Prudent Diagnostics Laboratories | Clinical Medical Laboratory | Past | Accepting new patients |
Locations
5700 Tennyson Pkwy
Ste 300
Plano, TX 75024
Phone (214) 535-7586
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Milwaukee, WI
- NPI 1902277353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1003245937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 TENNYSON PKWY STE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "750243595",
"telephone_number": "414-949-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 TENNYSON PKWY STE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "750243595",
"telephone_number": "414-949-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIDANI",
"first_name": "MAJID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-01",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.