Organization Active NPI

MDX Diagnostics Laboratory

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1417627308
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MDX DIAGNOSTICS LABORATORY
Doing business as
MDx Diagnostics Laboratory
Practice address
6201 Bonhomme Rd Ste 410S
Houston, TX 77036-4386
Phone
(832) 372-9971
NPI assigned
Sep 14, 2021
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Naishadh Panchal
Title
President & Owner
Phone
(832) 372-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6201 Bonhomme Rd Ste 410S
Houston, TX 77036-4386

Mailing address

6201 Bonhomme Rd Ste 410S
Houston, TX 77036-4386
Phone (832) 372-9971

Other names 1

  • MDx Diagnostics Laboratory Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1417627308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 410S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364386",
            "telephone_number": "832-372-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 410S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364386",
            "telephone_number": "832-372-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDX DIAGNOSTICS LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "NAISHADH",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "832-372-9971"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDx Diagnostics Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MDx Diagnostics Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.