=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588530026
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOLECULAR SOLUTIONS LAB LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/13/2025
-----------------------------------------------------
Last Update Date | 10/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13601 PRESTON RD STE 788W
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75240-5385
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-315-4607
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13601 PRESTON RD STE 788W
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75240-5385
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-315-4607
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | ASHWITHA REDDY NALIMELA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 940-315-4607
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------