Medlife Diagnostic Services Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

MEDLIFE DIAGNOSTIC SERVICES INC

Practice address

17774 Preston Rd
Dallas, TX 75252-5736

Phone

(832) 367-8990

NPI assigned

Sep 12, 2017

Organization subpart

No

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

Authorized official

Name

Syed Alikhan

Title

Manager

Phone

(847) 858-6620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medlife Diagnostic Services Inc

  • Mobile Radiology Clinic/Center
  • Dallas, TX
  • NPI 1063939254

  3779840129

  Same PAC ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Medlife Diagnostic Services Inc

  • Mobile Radiology Clinic/Center
  • Dallas, TX
  • NPI 1063939254

  Member Of

  NPD member

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1346769239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17774 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525736",
            "telephone_number": "832-367-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17774 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525736",
            "telephone_number": "832-367-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "ALIKHAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-858-6620"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medixon Diagnostics LLC
• Medlex Dental Group P.C.
• Medlex Dental Group P.C.
• Emily Medley, MSN, NP
• Medlife Diagnostic Services Inc
• Medlife Diagnostic Services Inc
• John Tyree Medlin, D.O.
• Zaniya Marie Medlin
• Morgan Medlock, MD
• Teresa Medlock, AGACNP

• Mobile Radiology Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Mobile Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.