Medcenter Surgery Center Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2024554 Issued in TX

Legal business name

MEDCENTER SURGERY CENTER INC

Doing business as

MedPlaza Toxicology

Practice address

2425 Babcock Rd.
Suite 107
San Antonio, TX 78229-4899

Phone

(210) 598-2852

Fax

(210) 598-2853

NPI assigned

May 7, 2012

Last updated

Jul 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aleksei Gutenberg

Title

Ceo

Phone

(210) 598-2852

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MedPlaza Toxicology Doing business as

Locations

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1679832059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD.",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294899",
            "telephone_number": "210-598-2852",
            "fax_number": "210-598-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD.",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294899",
            "telephone_number": "210-598-2852",
            "fax_number": "210-598-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTER SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "GUTENBERG",
        "authorized_official_first_name": "ALEKSEI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-598-2852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2024554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2024554",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPlaza Toxicology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medcare Ambulance Inc
• Medcare Associates, P.a.
• Medcare Health Services, Inc
• Medcede Physician Services, PLLC
• Medcenter Pain Management Clinic LLC
• Medcenter Work Recovery LLC
• Medcentrix Pharmacy, LLC (Medcentrix Pharmacy)
• Medco Respiratory Instruments, Inc (Epic Medical Solutions)
• Medcore Associates, PLLC
• Brittney Deann Medders, RN, FNP

• Clinical Medical Laboratory in San Antonio, TX
• Providers in San Antonio, 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 Jul 19, 2012; 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.