Organization Active NPI

Texas Medical Laboratory Inc

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1497086375
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D0928347 Issued in TX
Legal business name
TEXAS MEDICAL LABORATORY INC
Doing business as
baylor institute of metabolic disease
Practice address
1777 NE Loop 410
Ste 650
San Antonio, TX 78217-5209
Phone
(214) 988-9242
Fax
(214) 593-4722
NPI assigned
Jan 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
John B Arkusinski, M.D.NPI 1093714826
Title
President
Phone
(214) 988-9242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D0928347 TX Primary

Addresses

Primary practice location

1777 NE Loop 410
Ste 650
San Antonio, TX 78217-5209

Mailing address

1777 NE Loop 410
Ste 650
San Antonio, TX 78217-5209
Phone (214) 988-9242

Other names 1

  • baylor institute of metabolic disease Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2215242Mobile Health Medical Services PC1777 NE Loop 410, Suite 600, San Antonio, TX 78217Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory

Locations

1777 NE Loop 410
Ste 650
San Antonio, TX 78217
Phone (210) 678-3051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1497086375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 NE LOOP 410",
            "address_2": "STE 650",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175209",
            "telephone_number": "214-988-9242",
            "fax_number": "214-593-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NE LOOP 410",
            "address_2": "STE 650",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175209",
            "telephone_number": "214-988-9242",
            "fax_number": "214-593-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-17",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "ARKUSINSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-988-9242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0928347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "baylor institute of metabolic disease",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.