Organization Active NPI

Quality Toxicology, LLC

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1053650135
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QUALITY TOXICOLOGY, LLC
Practice address
4726 Shavano Oak
Suite 107
San Antonio, TX 78249-4033
Phone
(210) 463-9191
Fax
(210) 463-9190
NPI assigned
Feb 8, 2013
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Regina Tripp
Title
Cfo
Phone
(210) 463-9195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4726 Shavano Oak
Suite 107
San Antonio, TX 78249-4033

Mailing address

4726 Shavano Oak Ste 107
San Antonio, TX 78249-4029
Phone (210) 463-9191

Other identifiers 1

IdentifierTypeStateIssuer
338461201MedicaidTX

National Provider Directory

National Provider Directory

Locations

1212 Alpine Rd
Longview, TX 75601
Phone (248) 739-1863

4726 Shavano Oak
Ste 107
San Antonio, TX 78249
Phone (210) 463-9191

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1053650135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 SHAVANO OAK STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494029",
            "telephone_number": "210-463-9191",
            "fax_number": "210-463-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 SHAVANO OAK",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494033",
            "telephone_number": "210-463-9191",
            "fax_number": "210-463-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-463-9195"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338461201",
            "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 Sep 30, 2020; 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.