Organization Active NPI

South Alamo Neuro Diagnostic

Doing business as SANDAL Monitoring

  • Physiological Laboratory
  • San Antonio, TX
National Provider Identifier
1093835456
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
SOUTH ALAMO NEURO DIAGNOSTIC
Doing business as
SANDAL Monitoring
Practice address
8460 Fredericksburg Rd
San Antonio, TX 78229-3317
Phone
(210) 614-8460
Fax
(210) 614-8461
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
J Scott Luther, MD
Title
Cfo
Phone
(210) 614-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

8460 Fredericksburg Rd
San Antonio, TX 78229-3317

Mailing address

8460 Fredericksburg Rd
San Antonio, TX 78229-3317
Phone (210) 614-8460

Other names 1

  • SANDAL Monitoring Doing business as

National Provider Directory

National Provider Directory

Locations

8460 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 614-8460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1093835456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293317",
            "telephone_number": "210-614-8460",
            "fax_number": "210-614-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293317",
            "telephone_number": "210-614-8460",
            "fax_number": "210-614-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALAMO NEURO DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-614-8460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANDAL Monitoring",
            "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 Jan 10, 2012; 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.