Organization Active NPI

MNM Laboratory Consulting, LLC

Doing business as MNM Laboratory

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1073367389
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MNM LABORATORY CONSULTING, LLC
Doing business as
MNM Laboratory
Practice address
110 Cypress Station Dr Ste 285
Houston, TX 77090-1689
Phone
(424) 999-8698
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Mashud Ogunlaja
Title
Owner
Phone
(424) 999-8698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

110 Cypress Station Dr Ste 285
Houston, TX 77090-1689

Mailing address

32067 August Woods Way
Conroe, TX 77385-2029
Phone (310) 418-6535

Other names 1

  • MNM Laboratory Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724001642 TX Part B Supplier - Independent Clinical Laboratory 2163968355 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2296761MNM Laboratory110 Cypress Station Drive, Suite 285, Houston, TX 77090RegistrationJul 29, 2027

National Provider Directory

National Provider Directory

Locations

110 Cypress Station Dr
Ste 285
Houston, TX 77090
Phone (310) 418-6535

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1073367389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32067 AUGUST WOODS WAY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773852029",
            "telephone_number": "310-418-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CYPRESS STATION DR STE 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901689",
            "telephone_number": "424-999-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNM LABORATORY CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "OGUNLAJA",
        "authorized_official_first_name": "MASHUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-999-8698"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MNM Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.