Organization Active NPI

Medlife Diagnostic Services Inc

  • Multi-Specialty Clinic/Center
  • Dallas, TX
National Provider Identifier
1851818785
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MEDLIFE DIAGNOSTIC SERVICES INC
Practice address
17774 Preston Rd
Dallas, TX 75252-5736
Phone
(832) 367-8990
NPI assigned
Aug 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Syed Alikhan
Title
Manager
Phone
(847) 858-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

17774 Preston Rd
Dallas, TX 75252-5736

Mailing address

17774 Preston Rd
Dallas, TX 75252-5736
Phone (877) 400-9729

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MEDLIFEDIAGNOSTICSERVICES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1851818785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17774 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525736",
            "telephone_number": "877-400-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17774 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525736",
            "telephone_number": "832-367-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "ALIKHAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-858-6620"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MEDLIFEDIAGNOSTICSERVICES",
            "affiliation": "N",
            "address_1": "17774 Preston Rd",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752525736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.