MPL Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MPL INC

Doing business as

Medical and Pathology Laboratory

Practice address

2525 W Bellfort Ave Ste 194
Houston, TX 77054-5099

Phone

(281) 661-1825

Fax

(903) 757-5003

NPI assigned

Jul 30, 2019

Organization subpart

No

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

Authorized official

Name

Motaz Albahra, MD

Title

President

Phone

(903) 758-8511

Specialties & licenses 1

Addresses

Other names 1

• Medical and Pathology Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• MPL Inc

  dba Medical and Pathology Lab

  • Anatomic Pathology & Clinical Pathology Physician
  • Longview, TX
  • NPI 1568439313

  O20040514001184

  Same enrollment
• MPL Inc.

  dba Medical and Pathology Lab

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
  • NPI 1477070886

  O20040514001184

  Same enrollment

Locations

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1548814353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N 5TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016529",
            "telephone_number": "903-758-8511",
            "fax_number": "903-757-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BELLFORT AVE STE 194",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545099",
            "telephone_number": "281-661-1825",
            "fax_number": "903-757-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "ALBAHRA",
        "authorized_official_first_name": "MOTAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-758-8511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical and Pathology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical and Pathology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anatomic Pathology & Clinical Pathology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.