MB Diagnostic Labs Eastern Community Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MB DIAGNOSTIC LABS EASTERN COMMUNITY LABS

Practice address

2408 Timberloch PL Ste B1
The Woodlands, TX 77380-1060

Phone

(877) 841-3509

Fax

(864) 453-3004

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Jake Ryan Wexler

Title

Owner

Phone

(877) 841-3509

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1942766597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 TIMBERLOCH PL STE B1",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801060",
            "telephone_number": "877-841-3509",
            "fax_number": "864-453-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 TIMBERLOCH PL STE B1",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801060",
            "telephone_number": "877-841-3509",
            "fax_number": "864-453-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB DIAGNOSTIC LABS EASTERN COMMUNITY LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "WEXLER",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-841-3509"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarbir Singh Mattewal, MD
• Jadan Matthews- Barnett, DPT
• Heather Elaine Keys Matthews, ARNP
• Julia Mauer
• Mayflower Surgical Services, PLLC
• Caroline Wairimu Mbugua, NURSE PRACTITIONER
• MBV PLLC
• Morgan Bailey McBride, OTR
• Charles McCabe, HIS
• Marianne McCarthy, M.ED., LPC

• Clinical Medical Laboratory in The Woodlands, TX
• Providers in The Woodlands, 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 Feb 20, 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.