Organization Active NPI

Molecular and Diagnostic Testing Labs of America

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1013673243
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOLECULAR AND DIAGNOSTIC TESTING LABS OF AMERICA
Practice address
729 3Rd Ave
Dallas, TX 75226-2017
Phone
(901) 412-8934
NPI assigned
Nov 11, 2021
Organization subpart
Yes
Parent organization
MOLECULAR AND DIAGNOSTIC TESTING LABS OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Campbell
Title
Owner
Phone
(901) 412-8934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

729 3Rd Ave
Dallas, TX 75226-2017

Mailing address

1529 Cliff Gookin Blvd
Tupelo, MS 38801-6401
Phone (901) 412-8934

Other names 1

  • Molecular and Diagnostic testing labs of America - Texas Other name

National Provider Directory

National Provider Directory
Part of
Molecular and Diagnostic Testing Labs of America

Locations

729 3rd Ave
Dallas, TX 75226
Phone (901) 412-8934

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1013673243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016401",
            "telephone_number": "901-412-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 3RD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752262017",
            "telephone_number": "901-412-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR AND DIAGNOSTIC TESTING LABS OF AMERICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOLECULAR AND DIAGNOSTIC TESTING LABS OF AMERICA",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-412-8934"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molecular and Diagnostic testing labs of America - Texas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.