Organization Active NPI

Molecular Innovations Neo-Designs Laboratories, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1316506025
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOLECULAR INNOVATIONS NEO-DESIGNS LABORATORIES, LLC
Practice address
839 W. Commerce
Dallas, TX 75208
Phone
(937) 572-3366
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Tiffany Montgomery
Title
Manager
Phone
(937) 572-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

839 W. Commerce
Dallas, TX 75208

Mailing address

839 W. Commerce
Dallas, TX 75208

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1316506025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W. COMMERCE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W. COMMERCE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "937-572-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR INNOVATIONS NEO-DESIGNS LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-572-3366"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.