Organization Active NPI

Medical Professional Services, Inc.

  • Clinical Medical Laboratory
  • Malden, MA
National Provider Identifier
1447465158
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2604 Issued in MA
Legal business name
MEDICAL PROFESSIONAL SERVICES, INC.
Practice address
388 Pleasant St
Suite 305
Malden, MA 02148-8143
Phone
(781) 397-9980
Fax
(781) 397-8811
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Majid Pourshadi
Title
Laboratory Director
Phone
(781) 397-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2604 MA Primary

Addresses

Primary practice location

388 Pleasant St
Suite 305
Malden, MA 02148-8143

Mailing address

388 Pleasant St
Suite 305
Malden, MA 02148-8143
Phone (781) 397-9980

Other identifiers 1

IdentifierTypeStateIssuer
0800066MedicaidMA

Other names 1

  • Med Pro Laboratory Doing business as

National Provider Directory

National Provider Directory

Locations

388 Pleasant St
Ste 305
Malden, MA 02148
Phone (781) 333-5467

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1447465158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 PLEASANT ST",
            "address_2": "SUITE 305",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488143",
            "telephone_number": "781-397-9980",
            "fax_number": "781-397-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 PLEASANT ST",
            "address_2": "SUITE 305",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488143",
            "telephone_number": "781-397-9980",
            "fax_number": "781-397-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROFESSIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "POURSHADI",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "781-397-9980",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "2604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800066",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Pro Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.