Organization Active NPI

Dna Reference Lab

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1629437033
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D0938564 Issued in TX
Legal business name
DNA REFERENCE LAB
Practice address
5819 NW Loop 410 Ste 166
San Antonio, TX 78238-2500
Phone
(210) 692-3800
Fax
(210) 615-0100
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Dr. Ali Mohammed Salih, BVSC, MT (ASCP), MS,
Title
Medical Laboratory Director & FTL
Phone
(210) 692-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D0938564 TX Primary

Addresses

Primary practice location

5819 NW Loop 410 Ste 166
San Antonio, TX 78238-2500

Mailing address

5819 NW Loop 410 Ste 166
San Antonio, TX 78238-2500
Phone (210) 692-3800

National Provider Directory

National Provider Directory

Locations

5819 NW Loop 410
Ste 166
San Antonio, TX 78238
Phone (210) 692-3800

5282 Medical Dr
Ste 312
San Antonio, TX 78229
Phone (210) 699-3815

Practitioners & affiliated clinicians

Practitioners 2

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": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1629437033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 NW LOOP 410 STE 166",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382500",
            "telephone_number": "210-692-3800",
            "fax_number": "210-615-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 NW LOOP 410 STE 166",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382500",
            "telephone_number": "210-692-3800",
            "fax_number": "210-615-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA REFERENCE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "SALIH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "MEDICAL LABORATORY DIRECTOR & FTL",
        "authorized_official_telephone_number": "210-692-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BVSC, MT (ASCP), MS,"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0938564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 12, 2016; 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.