MPL INC. (NPI# 1477070886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477070886 |
| Entity Type | Organization |
| Organization Name | MPL INC. |
| Other Organization Name | MEDICAL AND PATHOLOGY LAB |
| Practice Address |
1801 Royal Ln Ste 805 Dallas TX 75229-7521 |
| Mailing Address |
402 North 5th Street Longview TX 75601-6529 |
| Practice Telephone | 4698864700 |
| Practice Fax Number | 2148718609 |
| Mailing Telephone | 9037588511 |
| Mailing Fax Number | 9037575033 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | DR. MOTAZ ALBAHRA (PRESIDENT) |
| Authorized Official Telephone | 9037588511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medical and Pathology Lab | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 W Bellfort Ave Ste 194, Houston, TX 770545099 | 2816611825 | 9037575033 |
| Street Address |
1801 ROYAL LN STE 805 |
| City | DALLAS |
| State | TX |
| Zip Code | 75229-7521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454602 | Obioma Anyogu | Nurse Practitioner | 1521 East Royal Lane, Apt 3208, Farmersbrabch, TX 75229 | 2020-03-30 |
| 1700399003 | Margaret F Wangsgaard | Dietitian, Registered | 3262 Dothan Ln, Dallas, TX 75229 | 2017-11-08 |
| 1710333075 | Egma LLC | Eyewear Supplier (Equipment, not the service) | 11234 Goodnight Lane, Dallas, TX 75229 | 2016-05-05 |
| 1770955924 | Sarah Loucks | Occupational Therapist | 3265 Dartmoor Ct, Dallas, TX 75229 | 2015-10-28 |
| 1750711222 | Maureen Elizabeth Veysset | Nurse Practitioner | 3207 Rotan Ln, Dallas, TX 75229 | 2013-11-20 |
| 1811248826 | Virginia F. Velez | Counselor | 2636 Walnut Hill Ln., Suite #330, Dallas, TX 75229 | 2012-10-01 |
| 1306128210 | Marshal Neil Decker | Technician, Other | 11034 Shady Trail, Suite 112, Dallas, TX 75229 | 2011-09-16 |
| 1275785883 | Rc Chiropractic and Sports Injury Care | Chiropractor | 11029 Shady Trail, 113, Dallas, TX 75229 | 2008-10-14 |
| 1639335672 | Young An Church | Durable Medical Equipment & Medical Supplies | 11445 Emerald St, Dallas, TX 75229 | 2008-07-30 |
| 1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
| Find all providers in zip 75229 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417307448 | James Gaulding | Pathology | 19 Robledo Dr, Dallas, TX 75230-3055 | 2016-06-21 |
| 1457747768 | Alexander Filatenkov | Pathology | 5323 Harry Hines Bouleard, Dallas, TX 75390-0001 | 2015-04-13 |
| 1760899652 | Kamalpreet Parmar | Pathology | 5940 Forest Park Rd Apt 2095, Dallas, TX 75235 | 2014-07-13 |
| 1033542576 | Thomas Hugh Mcconnell | Pathology | 3401 Lee Pkwy Apt 304, Dallas, TX 75219-5218 | 2013-08-20 |
| 1184068611 | Meggie Elizabeth Doucet | Pathology | 2330 Inwood Rd, Dallas, TX 75235 | 2013-04-26 |
| 1881853760 | Jennifer Anne Forsyth | Pathology | 5225 Maple Ave Apt 4109, Dallas, TX 75235-8458 | 2008-06-05 |
| 1467629709 | Roderick Mathew Nugent | Pathology | 11508 Royalshire Dr, Dallas, TX 75230-2914 | 2008-05-15 |
| 1013194679 | David A Whiting Md Pa | Pathology | 3600 Gaston Ave Ste 1058, Wadley Tower, Dallas, TX 75246-1910 | 2008-01-25 |
| 1982739116 | Iffat Z Khan | Pathology | 5827 Brushy Creek Trl, Dallas, TX 75252-2341 | 2007-02-21 |
| 1700975497 | Masterpath Pathology Consultants, P.a. | Pathology | 2909 S Hampton Rd Ste F126, Dallas, TX 75224-3000 | 2006-10-12 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.