Active NPI
Medical Professional Services, Inc.
- Clinical Medical Laboratory
- Malden, MA
National Provider Identifier
1447465158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 2604
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0800066 | Medicaid | MA |
Other names 1
- Med Pro Laboratory
National Provider Directory
National Provider DirectoryLocations
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.