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MD REQUEST PLLC
NPI 1316281975
Internal Medicine in Frisco, TX

Active since November 20, 2012CLIA 45D2306657 · Waiver
4645 AVON LN STE 200, FRISCO, TX 75033(469) 430-5850(877) 722-7085 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2023, Aug 16, 2019 (2 updates tracked since 2019).

About Md Request Pllc NPPES

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

MD REQUEST PLLC (NPI 1316281975) is a healthcare organization registered as an internal medicine in Frisco, Texas and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Jordan Pastorek, President/owner, as its authorized official.

NPPES Registry Identity

NPI1316281975
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMD REQUEST PLLC
Location Address4645 AVON LN STE 200Frisco, TX 75033-1559
Mailing Address4645 Avon Ln Ste 200Frisco, TX 75033-1559 · (469) 430-5850 · Fax (877) 722-7085
Phone(469) 430-5850
Fax(877) 722-7085
Organization SubpartNo
Authorized OfficialJordan PastorekPresident/owner · (469) 430-5850
Enumeration DateNovember 20, 2012
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1316281975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4645 AVON LN STE 200, Frisco, TX 75033
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2306657

MD Request PLLC Dba Pure Medicine · Frisco, TX
Active · expires Jun 20, 2028
CLIA Number45D2306657
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorJordan M. Pastorek
Laboratory Phone(469) 430-5850
Laboratory LocationMD Request PLLC Dba Pure Medicine4645 Avon Lane Suite 200, Frisco, TX 75033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 MD Request PLLC's NPI number?

The NPI number for MD Request PLLC is 1316281975. It was assigned to this organization in the NPPES registry on November 20, 2012.

Where is MD Request PLLC located?

MD Request PLLC is located at 4645 Avon Ln Ste 200, Frisco, TX 75033. The listed phone number is (469) 430-5850.

What is MD Request PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does MD Request PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2306657) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for MD Request PLLC was last updated on March 23, 2023. 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.