Med Diagnostic Laboratory TX Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MED DIAGNOSTIC LABORATORY TX INC

Practice address

26710 Interstate 45 N Ste C200
Spring, TX 77386-1019

Phone

(954) 369-7253

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By 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

Mr. Andre WhartonNPI 1578267191

Title

Owner

Phone

(954) 369-7253

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andre T Wharton

  • Clinical Medical Laboratory
  • Plantation, FL
  • NPI 1578267191
  NPD Authorized official

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1912691668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 204",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177573",
            "telephone_number": "954-369-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26710 INTERSTATE 45 N STE C200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861019",
            "telephone_number": "954-369-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED DIAGNOSTIC LABORATORY TX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-369-7253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD-RPM LLC
• Kiara Meade
• Med Choice Inc
• Med Choice Inc
• Med Choice Inc
• Med Southwest, PLLC (MyEyeDr.)
• Med Tech LLC (Med Tech)
• Med-Quest,LLC
• Medcare Pediatric Rehab Center, LP
• Medexpress Urgent Care Texas, P.a. (MedExpress Urgent Care - Spring, Louetta Rd)

• Clinical Medical Laboratory in Spring, TX
• Providers in Spring, 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 6, 2023; 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.