Tri-State Toxicology LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

J1691 Issued in TX

Legal business name

TRI-STATE TOXICOLOGY LLC

Doing business as

TRI-STATE TOXICOLOGY LLC

Practice address

422 W Nakoma St
San Antonio, TX 78216-2623

Phone

(210) 571-1300

Fax

(210) 519-2811

NPI assigned

Feb 12, 2013

Organization subpart

Yes

Parent organization

TRI-STATE TOXICOLOGY LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brandon Omar Gomez

Title

Owner

Phone

(210) 571-1300

Specialties & licenses 1

Addresses

Other names 1

• TRI-STATE TOXICOLOGY LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Tri-State Toxicology LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Paul Huff, MD, PHD

  • Rheumatology Physician
  • San Antonio, TX
  • NPI 1912978933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1003155979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W NAKOMA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162623",
            "telephone_number": "210-571-1300",
            "fax_number": "210-519-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W NAKOMA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162623",
            "telephone_number": "210-571-1300",
            "fax_number": "210-519-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE TOXICOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-STATE TOXICOLOGY LLC",
        "enumeration_date": "2013-02-12",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-571-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "J1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-STATE TOXICOLOGY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yuleth Trevino
• Diana Trevizo, LPC-A
• Scott Thomas Trexler, M.D.
• Georgette Ann Trezvant, MSW
• Tri Dang D O PA
• Triad Pharmacy Inc
• Triana Health Services Inc.
• Gisela M Triana, M.D.
• Jose F Triana, MD
• Maria Isabel Triana, MD

• Clinical Medical Laboratory in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.