M D TOXICOLOGY GROUP, LLC (NPI# 1518325562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518325562 |
| Entity Type | Organization |
| Organization Name | M D TOXICOLOGY GROUP, LLC |
| Practice Address |
11827 Starcrest Dr San Antonio TX 78247-4113 |
| Practice Telephone | 5125319214 |
| Mailing Telephone | 5125319214 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | MARK NICKLE (ADMINISTRATOR) |
| Authorized Official Telephone | 2108821705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS OF TX | CL5776 | 01 |
| TX | MEDICARE | 498429 | 01 |
| Street Address |
11827 STARCREST DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78247-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
| 1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
| Find all providers in zip 78247 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276661 | Utc Investments, LLC | Clinical Medical Laboratory | 4737 College Park Ste 105, San Antonio, TX 78249-4018 | 2020-08-19 |
| 1336758952 | Labtech Diagnostics, LLC | Clinical Medical Laboratory | 12902 Flagship, San Antonio, TX 78247-3473 | 2020-07-29 |
| 1871101808 | Advanced Diagnostic Laboratory | Clinical Medical Laboratory | 1077 Central Pkwy S Ste 200, San Antonio, TX 78232-5034 | 2020-07-15 |
| 1013530682 | Odl Analytical | Clinical Medical Laboratory | 2558 Boardwalk St, San Antonio, TX 78217-4417 | 2020-05-18 |
| 1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1346891991 | H-e-b, Lp | Clinical Medical Laboratory | 6520 Fratt Rd Ste 110, San Antonio, TX 78218-4402 | 2019-09-25 |
| 1083261622 | Geneus Health | Clinical Medical Laboratory | 16120 College Oak Ste 104, San Antonio, TX 78249-4044 | 2019-08-19 |
| 1003462029 | Alpha Medical Labs Limited Liability Company | Clinical Medical Laboratory | 10819 Nacogdoches Rd, San Antonio, TX 78217-2850 | 2019-08-15 |
| 1700368222 | Bexar Imaging Center, LLC | Clinical Medical Laboratory | 25 Ne Loop 410 Ste 121a, San Antonio, TX 78216-5898 | 2018-08-31 |
| 1386138873 | Pcr Diagnostics LLC | Clinical Medical Laboratory | 8812 Broadway St Ste B, San Antonio, TX 78217 | 2018-06-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78247 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.