South Texas Clinical Laboratory LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D1075228 Issued in TX

Legal business name

SOUTH TEXAS CLINICAL LABORATORY LTD

Practice address

418 S 6TH St
Kingsville, TX 78363-5519

Phone

(361) 516-1601

Fax

(361) 516-1633

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Andrew P. Sanders

Title

Partner

Phone

(361) 516-1601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

South Texas Clinical Laboratory LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• South Texas Clinical Laboratory LTD

  • Clinical Medical Laboratory
  • Corpus Christi, TX
  • NPI 1841071917
  NPD tax ID
• South Texas Clinical Laboratory LTD

  • Clinical Medical Laboratory
  • Alamo, TX
  • NPI 1962967240
  NPD tax ID

Locations

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1649459744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783641162",
            "telephone_number": "361-516-1601",
            "fax_number": "361-516-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S 6TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783635519",
            "telephone_number": "361-516-1601",
            "fax_number": "361-516-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS CLINICAL LABORATORY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "361-516-1601"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1075228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silverbell Pediatrics PA
• Randall L Simonsen, MD PA
• Brandi Lee Smith, FNP-C
• Laura Marie Smith, LCSW
• Elise Lujambio Sommerstein, PA
• South Texas Family Planning & Health Corporation
• South Texas Home Health
• South Texas Labs
• South Texas Medical Transport Service LLC
• South Texas Senior Services, Inc.

• Clinical Medical Laboratory in Kingsville, TX
• Providers in Kingsville, 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 Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.