Medlab Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2093078 Issued in TX

Legal business name

MEDLAB DIAGNOSTICS INC

Practice address

616 N Macarthur Blvd
Irving, TX 75061-7424

Phone

(972) 259-3718

Fax

(972) 259-2618

NPI assigned

Nov 23, 2014

Last updated

Jun 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Koteshwara Nadipalli

Title

President

Phone

(972) 259-3718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1730586512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617424",
            "telephone_number": "972-259-3718",
            "fax_number": "972-259-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617424",
            "telephone_number": "972-259-3718",
            "fax_number": "972-259-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLAB DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-23",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "NADIPALLI",
        "authorized_official_first_name": "KOTESHWARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-259-3718"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2093078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Irving, TX
• Providers in Irving, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.