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MDLAB
NPI 1255933016
Preventive Medicine - Public Health & General Preventive Medicine in Dallas, TX

Active since November 16, 2020
3001 KNOX ST STE 303, DALLAS, TX 75205(972) 688-6330 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2022, Apr 20, 2021, Nov 16, 2020 (3 updates tracked since 2020).

About Mdlab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MDLAB (NPI 1255933016) is a healthcare organization registered as a public health & general preventive medicine in Dallas, Texas and active in the NPI registry since November 2020. The organization lists Dirk Alan Perritt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255933016
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameMDLAB
Location Address3001 KNOX ST STE 303Dallas, TX 75205-7304
Mailing Address3001 Knox St Ste 303Dallas, TX 75205-7304 · (972) 688-6330
Phone(972) 688-6330
Organization SubpartNo
Authorized OfficialDirk Alan PerrittCeo · (214) 708-6641
Enumeration DateNovember 16, 2020
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1255933016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
3001 KNOX ST STE 303, Dallas, TX 75205
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mdlab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20210423000565Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHWAYS PHYSICIANS TEXAS, PLLC
Preventive Medicine (Public Health & General Preventive Medicine)
3001 KNOX ST STE 303
DALLAS, TX 75205
Dallas County (972) 688-6330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mdlab's NPI number?

The NPI number for Mdlab is 1255933016. It was assigned to this organization in the NPPES registry on November 16, 2020.

Where is Mdlab located?

Mdlab is located at 3001 Knox St Ste 303, Dallas, TX 75205. The listed phone number is (972) 688-6330.

What is Mdlab's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Mdlab enrolled in Medicare?

Yes. Mdlab is registered in the Medicare PECOS enrollment system.

When is Mdlab's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Mass Immunization (Roster Biller Only)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Mdlab was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.