Mci Diagnostic Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MCI DIAGNOSTIC CENTER, LLC

Practice address

1155 Kas Dr Ste 180
Richardson, TX 75081-1970

Phone

(469) 485-2382

Fax

(833) 309-1352

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Colleen J Payne

Title

Director

Phone

(469) 485-2382

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MCI Diagnostic Laboratory Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Mci Diagnostic Center, LLC

  • Clinical Medical Laboratory
  • Richardson, TX
  • NPI 1750466587

  O20211214000295

  Same enrollment

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Mci Diagnostic Center, LLC

  • Clinical Medical Laboratory
  • Richardson, TX
  • NPI 1750466587

  Member Of

  NPD member
• Mobile Cardiac Imaging, LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1316986722

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1841645132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 KAS DR STE 180",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811970",
            "telephone_number": "469-485-2382",
            "fax_number": "833-309-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 KAS DR STE 180",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811970",
            "telephone_number": "469-485-2382",
            "fax_number": "833-309-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCI DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-485-2382"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200031560F",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1155 Kas Dr Ste 180",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750811970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MCI Diagnostic Laboratory",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MCI Diagnostic Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer H McGlothlin, M.S.
• McGrim Health LLC
• Betty Fakhri McHargue, LSA
• Mci Diagnostic Center, LLC
• Mci Diagnostic Center, LLC
• Laurie McInerney, SLP
• Jacquelyn McKain, BS, QMHP
• Mary McKean, NP
• Lenore McKnight, LPT
• Dee McLeod, MD

• Clinical Medical Laboratory in Richardson, TX
• Providers in Richardson, 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 Mar 9, 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.