NM Laboratory Services LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

NM LABORATORY SERVICES LLC

Practice address

7109 W Loop 1604 N Lot 137
San Antonio, TX 78254-9557

Phone

(513) 978-7247

NPI assigned

Sep 20, 2020

Organization subpart

No

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

Authorized official

Name

Nikita Moodie

Title

Ceo

Phone

(513) 978-7247

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600560000000",
    "number": "1669088159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 W LOOP 1604 N LOT 137",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549557",
            "telephone_number": "513-978-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 W LOOP 1604 N LOT 137",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549557",
            "telephone_number": "513-978-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A",
        "authorized_official_last_name": "MOODIE",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-978-7247"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nmlaboratoryservicesllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7109 W Loop 1604 N Lot 137",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782549557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.