Medshield Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDSHIELD LABS LLC

Practice address

9319 LBJ Fwy Ste 102
Dallas, TX 75243-3440

Phone

(773) 297-8945

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Syeda Kubrabegum

Title

Owner

Phone

(972) 585-1524

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1144981184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9319 LYNDON B JOHNSON FWY STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433440",
            "telephone_number": "972-585-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9319 LBJ FWY STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433440",
            "telephone_number": "773-297-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSHIELD LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "KUBRABEGUM",
        "authorized_official_first_name": "SYEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-585-1524"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2587731",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440038401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Adriana Medrano, CRNA
• Jazmine Medrano
• Kathryn Medrano, RD, LD, CNSC
• Melissa Newell Medrano, RN
• Yeslin Erlinda Medrano, SLP-ASSISTANT
• Medspring of Texas, PA (medpsring Urgent Care)
• Medspring of Texas, PA
• Medspring of Texas, PA
• Medspring of Texas, PA
• Medspring of Texas, PA

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.