Sun Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUN CLINICAL LABORATORY LLC

Practice address

102 Palo Alto Rd
Suite 245
San Antonio, TX 78211-3758

Phone

(210) 922-6600

Fax

(210) 922-6605

NPI assigned

Oct 18, 2013

Organization subpart

No

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) 230-6717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394928000000",
    "number": "1457789976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD",
            "address_2": "SUITE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113758",
            "telephone_number": "210-922-6600",
            "fax_number": "210-922-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD",
            "address_2": "SUITE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113758",
            "telephone_number": "210-922-6600",
            "fax_number": "210-922-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2014-03-16",
        "status": "A",
        "authorized_official_last_name": "ATHYALA",
        "authorized_official_first_name": "PRASANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-230-6717"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Neal Sumner, M.D.
• Marlene Mendicino Sumner, DDS
• Zachary Sumner, DO
• Sumoto Muto Mobility, Inc
• Erin Sumrall
• Sun Pharma LLC
• Sun Psychological
• Alex Sun
• Derrick Yuan Sun, M.D.
• Hector Mauricio Suncin, MD

• 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 Mar 16, 2014; 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.