Organization Active NPI

Ind Opulence LLC

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1154601748
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D2004615 Issued in TX
Legal business name
IND OPULENCE LLC
Practice address
17700 N US Highway 281
Suite # 300
San Antonio, TX 78232-1404
Phone
(210) 267-5501
Fax
(210) 267-5502
NPI assigned
Aug 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Sesha C Chary, PHARM.D.NPI 1215217963
Title
President
Phone
(210) 267-5501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D2004615 TX Primary

Addresses

Primary practice location

17700 N US Highway 281
Suite # 300
San Antonio, TX 78232-1404

Mailing address

17700 N US Highway 281
Suite # 300
San Antonio, TX 78232-1404
Phone (210) 267-5501

Other names 1

  • ANY LAB TEST NOW Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2004615Ind Opulence LLC Dba Any Lab Test Now17700 US 281 N Suite 300, San Antonio, TX 78232Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

17700 N US Highway 281
Ste 300
San Antonio, TX 78232
Phone (210) 267-5501

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": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1154601748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 N US HIGHWAY 281",
            "address_2": "SUITE # 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321404",
            "telephone_number": "210-267-5501",
            "fax_number": "210-267-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 N US HIGHWAY 281",
            "address_2": "SUITE # 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321404",
            "telephone_number": "210-267-5501",
            "fax_number": "210-267-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IND OPULENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "CHARY",
        "authorized_official_first_name": "SESHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-267-5501",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2004615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANY LAB TEST NOW",
            "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 Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.