Organization Active NPI

Doc's Lab Services, LLC

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1023368933
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D2045368 Issued in TX
Legal business name
DOC'S LAB SERVICES, LLC
Practice address
1919 Oakwell Farms Pkwy Ste 180
San Antonio, TX 78218-1777
Phone
(210) 579-0560
NPI assigned
Sep 18, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mario Sepulveda
Title
Manager
Phone
(210) 579-0561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D2045368 TX Primary

Addresses

Primary practice location

1919 Oakwell Farms Pkwy Ste 180
San Antonio, TX 78218-1777

Mailing address

PO Box 4193
McAllen, TX 78502-4193
Phone (956) 510-8898

Other identifiers 1

IdentifierTypeStateIssuer
45D2045368OtherTXCLIA

National Provider Directory

National Provider Directory

Locations

1919 Oakwell Farms Pkwy
Ste 170
San Antonio, TX 78218

1919 Oakwell Farms Pkwy
Ste 180
San Antonio, TX 78218
Phone (210) 579-0560

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023368933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4193",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024193",
            "telephone_number": "956-510-8898",
            "fax_number": "956-510-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY STE 180",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181777",
            "telephone_number": "210-579-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC'S LAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-579-0561"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2045368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2045368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.