Labadvantage San Antonio LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABADVANTAGE SAN ANTONIO LTD

Practice address

85 NE Loop 410
Suite 221
San Antonio, TX 78216-5829

Phone

(210) 342-7900

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Wilson

Title

Owner Ceo

Phone

(409) 833-5700

Specialties & licenses 1

Addresses

Other names 1

• LabMD Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285708255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S 11TH ST",
            "address_2": "SUITE 210",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013732",
            "telephone_number": "409-833-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NE LOOP 410",
            "address_2": "SUITE 221",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165829",
            "telephone_number": "210-342-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABADVANTAGE SAN ANTONIO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "409-833-5700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LabMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• La Paz Community Healthcare Center, Inc
• Amy R La Rue, PT
• La Tooth Doc
• Cynthia Laabs-Ortegon, LPC
• Lab-a-Finity LLC
• Jacob Labahn, MD
• Jina Mari Labanca, LPC
• De'Olive Labarbera
• Ashley Labay
• Rebecca Labelle, LMSW

• Clinical Medical Laboratory in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.