PVD Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PVD DIAGNOSTICS, LLC

Practice address

18007 W Ih 10
San Antonio, TX 78257-9536

Phone

(210) 451-7525

Fax

(210) 451-7526

NPI assigned

Sep 8, 2017

Last updated

Oct 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Van Delden, MD

Title

Ceo

Phone

(210) 445-4450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1326566415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690804",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690804",
            "telephone_number": "210-451-7525",
            "fax_number": "210-451-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18007 W IH 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579536",
            "telephone_number": "210-451-7525",
            "fax_number": "210-451-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVD DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "VAN DELDEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-445-4450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Pustizzi
• Tatyana Pustylnik, DMD
• Jomol Shanko Puthen, FNP
• Christopher Michael Putnam, RN
• Franz Puyol
• PVD Medical Associates, PLLC
• PVD Urgent Care LLC (The Rim Urgent Care)
• PVD Urgent Care LLC (Full Spectrum Urgent Care at Hardy Oak)
• PVDM-Rim Ed (Full Spectrum Emergency Room at The Rim)
• Py Healthcare LLC

• 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 Oct 21, 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.