Prudent Diagnostics Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRUDENT DIAGNOSTICS LABORATORIES

Doing business as

Medical Laboratories

Practice address

2564 N 124TH St Apt 412
Milwaukee, WI 53226-1050

Phone

(414) 949-1355

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Majid Moridani, PHDNPI 1003245937

Title

Director

Phone

(414) 949-1355

Specialties & licenses 1

Addresses

Other names 1

• Medical Laboratories Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Majid Moridani

  • Clinical Laboratory Director (Non-physician)
  • Plano, TX
  • NPI 1003245937

  Clinical Medical Laboratory

  NPD (past) Authorized official

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1902277353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 N 124TH ST APT 412",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261050",
            "telephone_number": "414-949-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 N 124TH ST APT 412",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261050",
            "telephone_number": "414-949-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT DIAGNOSTICS LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "MORIDANI",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-949-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prosperous Roads
• Brian T Prost, CRNA
• Joshua Prostek, PHARMD
• Protecter of Many LLC
• Barbara J. Provo, APNP
• William F Prudlow, MD
• Jason Scott Prudom, M.D.
• Paul Pruessing, PA
• Julie Pruett, NP
• Jilliann Nelessen Pruetting, PT

• Clinical Medical Laboratory in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.