Secure Toxicology Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SECURE TOXICOLOGY SERVICES LLC

Practice address

8810 Broadway St
Suite 110
San Antonio, TX 78217-6318

Phone

(210) 596-9027

Fax

(210) 568-4978

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Marisa Morales

Title

Credentialing

Phone

(210) 596-9027

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1346695590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 BROADWAY ST",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176318",
            "telephone_number": "210-596-9027",
            "fax_number": "210-568-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 BROADWAY ST",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176318",
            "telephone_number": "210-596-9027",
            "fax_number": "210-568-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE TOXICOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "210-596-9027"
    },
    "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": "45D2111113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Cain Sebek, APN, CFNP
• Bradley Seboe
• Sharon Ann Secola
• Second Baptist Church
• Katherine Secor, LPC-S
• Jose Oscar Seda, M.D.
• Odelee Angelys Seda
• Ezra D Sedano
• Aaron Morteza Seddighzadeh, MD
• Sarah Seddighzadeh, M.S., CCC-SLP

• 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 Jun 2, 2016; 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.