Organization Active NPI

San Antonio Laboratories Inc

Doing business as medlab

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1043541923
Registry record updated May 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D0501594 Issued in TX
Legal business name
SAN ANTONIO LABORATORIES INC
Doing business as
medlab
Practice address
211 N Loop 1604 E
Ste 201
San Antonio, TX 78232-1237
Phone
(210) 247-9691
Fax
(210) 579-1484
NPI assigned
Jan 16, 2010
Last updated
May 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2010

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

Authorized official

Name
Sherry W Abboud, M.D.
Title
President
Phone
(210) 247-9691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D0501594 TX Primary

Addresses

Primary practice location

211 N Loop 1604 E
Ste 201
San Antonio, TX 78232-1237

Mailing address

1777 NE Loop 410
Ste 600
San Antonio, TX 78217-5209
Phone (210) 247-9691

Other names 1

  • medlab Doing business as

National Provider Directory

National Provider Directory

Locations

211 N Loop 1604 E
Ste 201
San Antonio, TX 78232
Phone (210) 247-9691

NPI Registry JSON

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272672000000",
    "number": "1043541923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 NE LOOP 410",
            "address_2": "STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175209",
            "telephone_number": "210-247-9691",
            "fax_number": "210-579-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N LOOP 1604 E",
            "address_2": "STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321237",
            "telephone_number": "210-247-9691",
            "fax_number": "210-579-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-16",
        "last_updated": "2010-05-01",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-247-9691",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0501594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medlab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 1, 2010; 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.