Organization Active NPI

Sunswet LLC

  • Clinical Medical Laboratory
  • Odessa, TX
National Provider Identifier
1447729199
Registry record updated Feb 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUNSWET LLC
Practice address
500 Adams Ave Ste 800
Odessa, TX 79761-4615
Phone
(432) 276-5250
NPI assigned
Nov 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2019

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

Authorized official

Name
Prasanna Athyala
Title
President
Phone
(432) 276-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

500 Adams Ave Ste 800
Odessa, TX 79761-4615

Mailing address

500 Adams Ave Ste 800
Odessa, TX 79761-4615
Phone (432) 276-5250

Other identifiers 1

IdentifierTypeStateIssuer
4502154116OtherTXCLIA ID

Other names 1

  • SUN DIAGNOSTIC LABORATORY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549756800000",
    "number": "1447729199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ADAMS AVE STE 800",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614615",
            "telephone_number": "432-276-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ADAMS AVE STE 800",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614615",
            "telephone_number": "432-276-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSWET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-23",
        "last_updated": "2019-02-10",
        "status": "A",
        "authorized_official_last_name": "ATHYALA",
        "authorized_official_first_name": "PRASANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-276-5250"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "4502154116",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN DIAGNOSTIC LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.