Active NPI
Eclipse Toxicology LTD
- Clinical Medical Laboratory
- San Antonio, TX
National Provider Identifier
1336534072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2098712 | Other | CLIA |
National Provider Directory
National Provider DirectoryLocations
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
- Stefanie Anderson Eckert, MM, MT-BC
- Maxim Savillion Eckmann, MD
- Jason Eckols, FNP-C
- Jennifer Eckols, LPC-S
- Zenaida Eclarinal, M.D.
- Economical Pharmacy Services LLC (Economical Pharmacy Services)
- Eddie Davis DPM PLLC
- Eddie Davis, DPM, PLLC
- Eddie Davis, DPM, PLLC (Alamo Family Foot & Ankle Care)
- Eddie Davis, DPM, PLLC (Alamo Family Foot & Ankle Care)
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.