Capital Toxicology, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CAPITAL TOXICOLOGY, LLC

Practice address

9417 Brodie LN
Austin, TX 78748-5602

Phone

(512) 610-9955

Fax

(512) 610-9977

NPI assigned

May 11, 2009

Last updated

Aug 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery T. Wise

Title

V.P. Laboratory Operations

Phone

(512) 610-9955

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Danielson, PHD

  • Clinical Laboratory Director (Non-physician)
  • Austin, TX
  • NPI 1598107344
  NPD (past)

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1568696185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9417 BRODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485602",
            "telephone_number": "512-610-9955",
            "fax_number": "512-610-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 BRODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485602",
            "telephone_number": "512-610-9955",
            "fax_number": "512-610-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "V.P. LABORATORY OPERATIONS",
        "authorized_official_telephone_number": "512-610-9955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1099976",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital Pharmacy, LLC
• Capital Prosthetics & Orthotics, LLC (Martin Bionics Clinical Care)
• Capital Rehabilitation Associates PA
• Capital Surgeons Group, PLLC
• Capital Therapy Group, LLC
• Capitol Anesthesiology Association
• Capitol CC, Inc. (Capitol Home Health)
• Capitol City Family Practice
• Capitol City Health
• Capitol City Health & Rehabilitation Center, L.P. (Capitol City Health & Rehabilitation Center)

• Clinical Medical Laboratory in Austin, TX
• Providers in Austin, 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 13, 2009; 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.