Organization Active NPI

Ivf Laboratories of San Antonio LLC

Doing business as Ovation Fertility

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1649749961
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IVF LABORATORIES OF SAN ANTONIO LLC
Doing business as
Ovation Fertility
Practice address
18707 Hardy Oak Blvd Ste 511
San Antonio, TX 78258-4891
Phone
(818) 858-1080
NPI assigned
Nov 15, 2018
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FPG LABS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Goldie Gupta
Title
Cfo
Phone
(630) 536-7738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd Ste 511
San Antonio, TX 78258-4891

Mailing address

15821 Ventura Blvd Ste 625
Encino, CA 91436-4793
Phone (818) 858-1080

Other names 1

  • Ovation Fertility Doing business as

National Provider Directory

National Provider Directory

Locations

18707 Hardy Oak Blvd
Ste 511
San Antonio, TX 78258
Phone (210) 858-3360

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1649749961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD STE 625",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364793",
            "telephone_number": "818-858-1080",
            "fax_number": "323-729-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 511",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584891",
            "telephone_number": "818-858-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVF LABORATORIES OF SAN ANTONIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FPG LABS LLC",
        "enumeration_date": "2018-11-15",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GOLDIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-536-7738"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovation Fertility",
            "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 Sep 10, 2021; 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.