Mdlab

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

MDLAB

Practice address

3001 Knox St Ste 303
Dallas, TX 75205-7304

Phone

(972) 688-6330

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Dirk Alan Perritt, MD

Title

Ceo

Phone

(214) 708-6641

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1255933016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KNOX ST STE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752057304",
            "telephone_number": "972-688-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 KNOX ST STE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752057304",
            "telephone_number": "972-688-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDLAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "PERRITT",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-708-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mdconnect LLC
• Mdconnect, LLC
• MDH Healthcare Agency LLC
• Mdi Consultants LLC
• Mdiagnostics
• Mdptx PLLC
• Mdptx2 Physicians PLLC
• Page Bailey Meachum, RD, CSP, LD
• Kyle Mead, DPT
• Anna Mi Meade, MD

• Public Health & General Preventive Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Public Health & General Preventive Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.