OrganizationActive
Mod Lab
NPI 1194968131 · Clinical Medical Laboratory · Dallas, TX
Mod Lab is a Clinical Medical Laboratory organization in Dallas, TX (NPI 1194968131).
Provider details
- NPI number
- 1194968131
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Prost Data Inc
- Organization subpart
- Yes
- Authorized official
- Jonathan Oppenheimer, Owner(615) 874-0410
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4600 Greenville Avenue
Suite 240
Dallas, TX 75206-5037
Phone: (615) 874-0410
Street-level locationGet directions
Mailing address
Po Box 291209
Nashville, TN 37229-1209
Other names (DBA / former)
- Former legal business name
- Prost Data Inc
Registry dates
- Enumerated
- 2009-04-07
- Last updated
- 2009-04-07
Frequently asked questions
- What is Mod Lab's NPI number?
- Mod Lab's National Provider Identifier (NPI) is 1194968131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mod Lab?
- Mod Lab is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Mod Lab located?
- Mod Lab's practice location on file with NPPES is 4600 Greenville Avenue, Dallas, TX 75206-5037.
- What is Mod Lab's phone number?
- The practice phone number listed in the NPPES registry for Mod Lab is (615) 874-0410.
- Who is the authorized official for Mod Lab?
- The authorized official listed on Mod Lab's NPPES record is Jonathan Oppenheimer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mod Lab's NPI active?
- Yes — Mod Lab's NPI (1194968131) is active in the NPPES registry as of the last update on 2009-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.