Organization Active NPI

Midtown Lab, LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1427583905
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MIDTOWN LAB, LLC
Practice address
4126 Southwest Fwy
Suite 100
Houston, TX 77027-7310
Phone
(832) 725-2863
NPI assigned
Apr 21, 2017
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Dr. Majed Ibrahim, MD
Title
President
Phone
(832) 725-2863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X TX Primary

Addresses

Primary practice location

4126 Southwest Fwy
Suite 100
Houston, TX 77027-7310

Mailing address

4126 Southwest Fwy
Suite 1210
Houston, TX 77027-7310
Phone (832) 725-2863

National Provider Directory

National Provider Directory

Locations

4126 Southwest Fwy
Ste 100
Houston, TX 77027
Phone (713) 627-2370

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1427583905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE 1210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "832-725-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "832-725-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MAJED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-725-2863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 21, 2017; 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.