Mdconnect, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MDCONNECT, LLC

Practice address

17300 Dallas Pkwy Ste 3010
Dallas, TX 75248-7710

Phone

(941) 914-8286

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Scott Grevious

Title

President

Phone

(740) 675-2186

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Mdconnect LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mdconnect LLC

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1295286417
  NPD tax ID

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1174983126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PKWY STE 3010",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752487710",
            "telephone_number": "941-914-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PKWY STE 3010",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752487710",
            "telephone_number": "941-914-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDCONNECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "GREVIOUS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-675-2186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mdconnecthealthcare.com",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17300 Dallas Pkwy Ste 3010",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752487710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• MD Progressive Care PLLC
• MD Request Hospitalists, P.L.L.C.
• MD Specialty Group LLC
• MD Visit, LLC
• Mdconnect LLC
• MDH Healthcare Agency LLC
• Mdi Consultants LLC
• Mdiagnostics
• Mdlab
• Mdptx PLLC

• 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 Jan 11, 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.