Seacole Labs

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SEACOLE LABS

Practice address

614 S Business Ih 35 Ste C17
New Braunfels, TX 78130-4741

Phone

(210) 245-6088

NPI assigned

Apr 25, 2020

Last updated

Apr 25, 2020By 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

Matthew Zarder

Title

Administrator

Phone

(210) 245-6088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587772800000",
    "number": "1063032456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S BUSINESS IH 35 STE C17",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304741",
            "telephone_number": "210-245-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S BUSINESS IH 35 STE C17",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304741",
            "telephone_number": "210-245-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOLE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A",
        "authorized_official_last_name": "ZARDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-245-6088"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.