Labtech Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABTECH DIAGNOSTICS, LLC

Practice address

12902 Flagship
San Antonio, TX 78247-3473

Phone

(617) 838-9986

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Labtech Diagnostics LLC

Title

Company

Phone

(210) 595-1124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1336758952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 FLAGSHIP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473473",
            "telephone_number": "210-595-1124",
            "fax_number": "210-595-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 FLAGSHIP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473473",
            "telephone_number": "617-838-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABTECH DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "LLC",
        "authorized_official_first_name": "LABTECH DIAGNOSTICS",
        "authorized_official_title_or_position": "COMPANY",
        "authorized_official_telephone_number": "210-595-1124"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Javier Laborde, DO
• Alfred L. Laborde, M.D.
• Penelope Laboy, AGACNP
• Victor Labrado, FNP-C, PMHNP-BC
• Leslie Labranch, LPC
• Clayton Vincent Labus
• Heather Ann Labyer, LPC
• Aimee Lacalle
• Lacasita Medical Transport
• Lacasita PCH 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 Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.