MEDNOVA MEDICAL SUPPLIES LLC
NPI 1639058258
Clinical Medical Laboratory in Irving, TX

Active since August 28, 2025CLIA 45D2334192 · Waiver
3904 BLOCK DR APT 247, IRVING, TX 75038(347) 557-9857 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2026, Nov 13, 2025 (2 updates tracked since 2025).

About Mednova Medical Supplies Llc NPPES

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

MEDNOVA MEDICAL SUPPLIES LLC (NPI 1639058258) is a healthcare organization registered as a clinical medical laboratory in Irving, Texas and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Haider Ali, Owner, as its authorized official.

NPPES Registry Identity

NPI1639058258
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMEDNOVA MEDICAL SUPPLIES LLC
Location Address3904 BLOCK DR APT 247Irving, TX 75038-7650
Mailing Address1201 Avenue K Apt 2iBrooklyn, NY 11230-4232 · (347) 557-9857
Organization SubpartNo
Authorized OfficialHaider AliOwner · (347) 557-9857
Enumeration DateAugust 28, 2025
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1639058258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3904 BLOCK DR APT 247, Irving, TX 75038

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 45D2334192

Mednova Medical Supplies LLC · Irving, TX
Active · expires Nov 16, 2027
CLIA Number45D2334192
Laboratory TypeIndependent
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorAli Haider
Laboratory Phone(347) 557-9857
Laboratory LocationMednova Medical Supplies LLC3904 Block Dr Apt 247, Irving, TX 75038
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies
3904 BLOCK DR APT 247
IRVING, TX 75038

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 Mednova Medical Supplies LLC's NPI number?

The NPI number for Mednova Medical Supplies LLC is 1639058258. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Mednova Medical Supplies LLC located?

Mednova Medical Supplies LLC is located at 3904 Block Dr Apt 247, Irving, TX 75038. The listed phone number is (347) 557-9857.

What is Mednova Medical Supplies LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Mednova Medical Supplies LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2334192) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mednova Medical Supplies LLC was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.