MDX Bioanalytical Laboratory Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MDX BIOANALYTICAL LABORATORY INC.

Practice address

5890 Imperial Loop Ste 12
College Station, TX 77845-6677

Phone

(979) 485-5530

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Earl L White, PH.D.

Title

President & Ceo

Phone

(979) 485-5531

Specialties & licenses 1

Addresses

Other names 1

• MDx BioAnalytical Laboratory Inc. Doing business as

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1194490409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 IMPERIAL LOOP STE 12",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456677",
            "telephone_number": "979-485-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 IMPERIAL LOOP STE 12",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456677",
            "telephone_number": "979-485-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDX BIOANALYTICAL LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "979-485-5531",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDx BioAnalytical Laboratory Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria McQueen, RN, FNP-C
• Robert McQuitty, MD
• Caroline Ellin McRory, M.S. CCC-SLP
• Betty Lee McSpadden, PHD
• Elizabeth McWilliams
• Linda P. Meade, M.D.
• Med Southwest, PLLC
• Med Southwest, PLLC
• Med-Trans Corporation
• Medfund LLC

• Clinical Medical Laboratory in College Station, TX
• Providers in College Station, 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 Apr 20, 2022; 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.