Mallard Medical Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MALLARD MEDICAL SERVICES INC

Practice address

20 Mallard CT
Beckley, WV 25801-3615

Phone

(304) 255-6651

NPI assigned

Jun 21, 2007

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

MALLARD MEDICAL SERVICES INCAs reported in NPPES

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

Authorized official

Name

Dr. Syed Rasheed, MD

Title

President

Phone

(304) 255-6651

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mallard Medical Laboratory Other name

Part of

Mallard Medical Service

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mallard Medical Services Inc

  dba Syed Rasheed

  • Health Information Specialist/Technologist
  • Beckley, WV
  • NPI 1750489225
  NPPES parent name

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1548466295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "STANAFORD",
            "state": "WV",
            "postal_code": "259270012",
            "telephone_number": "304-255-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013615",
            "telephone_number": "304-255-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLARD MEDICAL SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MALLARD MEDICAL SERVICES INC",
        "enumeration_date": "2007-06-21",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "RASHEED",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-255-6651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5580091000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "51D0235339",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mallard Medical Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lyndsey Maiolo
• Tina Maiolo
• Ahmed Hassan Mohamedelsaid Maky, MD
• Stephanie Malay
• Tara Malik
• Mallard Medical Services Inc (Syed Rasheed)
• Sara L Mandeville, COTA
• Laamya Manley, MSW,LSW
• Tamara Darlene Manning
• Bayli Manns, HIS

• Clinical Medical Laboratory in Beckley, WV
• Providers in Beckley, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.