Molecular Medical Laboratory, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2020075 Issued in TX

Legal business name

MOLECULAR MEDICAL LABORATORY, INC

Practice address

2218 W Mile 5 Rd
Mission, TX 78574-4935

Phone

(956) 581-0700

Fax

(956) 581-0701

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Bertha Alicia Cardona

Title

Owner

Phone

(956) 581-0700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1306143607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 W MILE 5 RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785744935",
            "telephone_number": "956-581-0700",
            "fax_number": "956-581-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 W MILE 5 RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785744935",
            "telephone_number": "956-581-0700",
            "fax_number": "956-581-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR MEDICAL LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-581-0700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2020075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Medical Equipment & Diabetic Supplies
• Mission Open MRI & Diagnostic Center LLC
• Mission Orthopaedics PA
• Mission Psychological Center, P.a.
• Mission SCC LLC (Mission Nursing & Rehabilitation Center)
• Klarissa Marie Monroy
• Adan Montalvo
• Armando Montalvo, O.T.R.
• Erika Cecilia Bayona Montecillo, NP- FNP-BC
• Jessica J. Montelongo, DNP, APRN, FNP-BC

• Clinical Medical Laboratory in Mission, TX
• Providers in Mission, 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 Jun 13, 2011; 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.