Organization Active NPI

Complete Diagnostics

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1659424992
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPLETE DIAGNOSTICS
Practice address
102 Babcock Rd
Ste 103
San Antonio, TX 78201-3952
Phone
(210) 248-9636
Fax
(210) 479-4057
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Erika Quintanilla
Title
Director of Operations
Phone
(210) 559-5549

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227800000X
Clinical Medical Laboratory 291U00000X 150211 TX
Physiological Laboratory 293D00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

102 Babcock Rd
Ste 103
San Antonio, TX 78201-3952

Mailing address

102 Babcock Rd
Ste 103
San Antonio, TX 78201-3952
Phone (210) 248-9636

Other identifiers 1

IdentifierTypeStateIssuer
091582903MedicaidTX

National Provider Directory

National Provider Directory

Locations

102 Babcock Rd
Ste 103
San Antonio, TX 78201
Phone (210) 248-9636

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1659424992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BABCOCK RD",
            "address_2": "STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013952",
            "telephone_number": "210-248-9636",
            "fax_number": "210-479-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BABCOCK RD",
            "address_2": "STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013952",
            "telephone_number": "210-248-9636",
            "fax_number": "210-479-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "210-559-5549"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "150211",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091582903",
            "state": "TX"
        }
    ],
    "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 Nov 3, 2020; 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.