Active NPI
Molecular Innovations Neo-Designs Laboratories, LLC
- Clinical Medical Laboratory
- Dallas, TX
National Provider Identifier
1316506025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.