NPIMap

Organization Active NPI

W2020 Vision-DT, LLC

  • Clinical Medical Laboratory
  • Live Oak, TX
National Provider Identifier
1255083994
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
W2020 VISION-DT, LLC
Practice address
12702 Toepperwein Rd Ste 209
Live Oak, TX 78233-3250
Phone
(210) 570-5302
Fax
(210) 957-7242
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Mr. Dennis Lamar Parks Jr.NPI 1528710258
Title
President
Phone
(210) 392-4567

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 Primary

Addresses

Primary practice location

12702 Toepperwein Rd Ste 209
Live Oak, TX 78233-3250

Mailing address

12702 Toepperwein Rd Ste 209
Live Oak, TX 78233-3250
Phone (210) 570-5302

Other names 1

  • Skrap Labs Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1255083994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 209",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333250",
            "telephone_number": "210-570-5302",
            "fax_number": "210-957-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 209",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333250",
            "telephone_number": "210-570-5302",
            "fax_number": "210-957-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W2020 VISION-DT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-392-4567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skrap Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skrap Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.