Organization Active NPI

Lean Labs Medical Services

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1174194682
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEAN LABS MEDICAL SERVICES
Practice address
4334 N Loop 1604 W Ste 101
San Antonio, TX 78249-3485
Phone
(210) 874-5326
Fax
(210) 874-5327
NPI assigned
Jul 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Melissa Elder, RN
Title
Director
Phone
(210) 874-5326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4334 N Loop 1604 W Ste 101
San Antonio, TX 78249-3485

Mailing address

4334 N Loop 1604 W Ste 101
San Antonio, TX 78249-3485
Phone (210) 874-5326

National Provider Directory

National Provider Directory

Locations

4334 N Loop 1604 W
Ste 101
San Antonio, TX 78249
Phone (210) 874-5326

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1174194682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 N LOOP 1604 W STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493485",
            "telephone_number": "210-874-5326",
            "fax_number": "210-874-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 N LOOP 1604 W STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493485",
            "telephone_number": "210-874-5326",
            "fax_number": "210-874-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAN LABS MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-874-5326",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 6, 2021; 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.