Acculab Group LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2111937 Issued in TX

Legal business name

ACCULAB GROUP LLC

Practice address

1919 Oakwell Farms Pkwy
Suite 160
San Antonio, TX 78218-1777

Phone

(210) 254-0891

NPI assigned

May 6, 2016

Organization subpart

No

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

Authorized official

Name

John Barker

Title

Consultant

Phone

(210) 254-0891

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1043666209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY",
            "address_2": "SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY",
            "address_2": "SUITE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181777",
            "telephone_number": "210-254-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCULAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "210-254-0891"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2111937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2111937",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 May 6, 2016; 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.