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MDLAB NPI 1255933016


NPI Information

NPI: 1255933016
Provider Name: MDLAB
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

CLIA Number: 45D2188474

Address:
3001 KNOX ST STE 303
DALLAS, TX
ZIP 75205
Phone: (972) 688-6330
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MDLAB is a public health and general preventive medicine preventive medicine in Dallas, TX. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. MDLAB NPI is 1255933016. The provider is registered as an organization entity type.

The provider's business location address is:

3001 KNOX ST STE 303
DALLAS, TX
ZIP 75205-304
Phone: (972) 688-6330

The provider's authorized official is Dirk Alan Perritt .
The authorized official title is Ceo and has the following contact phone number (214) 708-6641.

The CLIA number assigned to this NPI record is 45D2188474 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2020 and was last updated on 12/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
22083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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