Immuno D, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMMUNO D, INC.

Practice address

8122 Datapoint Dr
Ste 910
San Antonio, TX 78229-3273

Phone

(210) 614-5809

Fax

(210) 615-8186

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lynda Atwood

Title

Cfo

Phone

(210) 614-5809

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477558179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR",
            "address_2": "STE 910",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293273",
            "telephone_number": "210-614-5809",
            "fax_number": "210-615-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR",
            "address_2": "STE 910",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293273",
            "telephone_number": "210-614-5809",
            "fax_number": "210-615-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNO D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-614-5809",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imed Internal Medicine PA
• Img Clinic PLLC
• Imk Healthcare LLC
• Tamara Elizabeth Imken-Betz
• Lauren M Immenschuh, MA, BCBA
• Immuno, PA
• Immunobionomics Laboratory, Inc.
• Impact Behavior Health Services LLC.
• Impact Counseling and Consulting LLC
• Impact Infusion Care, 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 Aug 22, 2020; 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.