Medstar Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDSTAR LABORATORY LLC

Practice address

9901 Valley Ranch Pkwy E Ste 3015
Irving, TX 75063-7184

Phone

(630) 677-5272

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Arshadullah Syed

Title

President

Phone

(630) 677-5272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1386118149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 HILLANDALE DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601038604",
            "telephone_number": "630-677-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 VALLEY RANCH PKWY E STE 3015",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637184",
            "telephone_number": "630-677-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "ARSHADULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-677-5272"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.