Quality Forensic Toxicology LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUALITY FORENSIC TOXICOLOGY LLC

Practice address

4726 Shavano Oak Ste 105
San Antonio, TX 78249-4029

Phone

(210) 463-9191

Fax

(210) 463-9190

NPI assigned

Jun 13, 2017

Last updated

Sep 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Regina L Tripp

Title

Cfo/Coo

Phone

(210) 463-9191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1053841023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 SHAVANO OAK STE 105",
            "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 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494029",
            "telephone_number": "210-463-9191",
            "fax_number": "210-463-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY FORENSIC TOXICOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "210-463-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 6, 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.