Organization Active NPI

Eclipse Toxicology LTD

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1336534072
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ECLIPSE TOXICOLOGY LTD
Practice address
1077 Central Pkwy South Ste 300
San Antonio, TX 78232-5034
Phone
(214) 618-5600
Fax
(214) 618-7733
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Kim Sivaraman
Title
Billing Manager
Phone
(214) 618-5600

Specialties & licenses 1

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

Addresses

Primary practice location

1077 Central Pkwy South Ste 300
San Antonio, TX 78232-5034

Mailing address

Lock Box 4346 Dept 162
Houston, TX 77210-4346
Phone (214) 618-5600

Other identifiers 1

IdentifierTypeStateIssuer
45D2098712OtherCLIA

National Provider Directory

National Provider Directory

Locations

1077 Central Pkwy S
Ste 300
San Antonio, TX 78232
Phone (210) 765-0590

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1336534072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCK BOX 4346 DEPT 162",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "214-618-5600",
            "fax_number": "214-618-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 CENTRAL PKWY SOUTH STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325034",
            "telephone_number": "214-618-5600",
            "fax_number": "214-618-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE TOXICOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "SIVARAMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-618-5600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2098712",
            "state": null
        }
    ],
    "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 27, 2015; 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.