Organization Active NPI

MD Logix Practice Solutions

  • Clinical Medical Laboratory
  • Mesquite, TX
National Provider Identifier
1023584372
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MD LOGIX PRACTICE SOLUTIONS
Practice address
2812 Island Wren Dr
Mesquite, TX 75181-4938
Phone
(214) 704-1457
NPI assigned
Oct 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

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

Authorized official

Name
Cosalyn Young
Title
Owner
Phone
(214) 704-1457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

2812 Island Wren Dr
Mesquite, TX 75181-4938

Mailing address

2812 Island Wren Dr
Mesquite, TX 75181-4938
Phone (214) 704-1457

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539475200000",
    "number": "1023584372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 ISLAND WREN DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814938",
            "telephone_number": "214-704-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 ISLAND WREN DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814938",
            "telephone_number": "214-704-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD LOGIX PRACTICE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "COSALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-704-1457"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.