Bexar Imaging Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BEXAR IMAGING CENTER, LLC

Doing business as

Bexar Laboratory

Practice address

25 NE Loop 410 Ste 121a
San Antonio, TX 78216-5898

Phone

(210) 384-8439

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By 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

Bryan D Grundhoefer

Title

Manager

Phone

(210) 617-4728

Specialties & licenses 1

Addresses

Other names 1

• Bexar Laboratory Doing business as

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1700368222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NE LOOP 410 STE 121A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165898",
            "telephone_number": "210-384-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NE LOOP 410 STE 121A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165898",
            "telephone_number": "210-384-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEXAR IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "GRUNDHOEFER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-617-4728"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bexar Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bexar Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bexar Eye PLLC (Trinidad Vision Center)
• Bexar Healthcare Consortium
• Bexar Healthcare Consortium, LLC
• Bexar Home Health Systems LLC
• Bexar Imaging Center LLC (Bexar Imaging South)
• Bexar Imaging Center, LLC
• Bexar Modifications, Inc.
• Bexar Pediatric Surgery Associates PLLC (San Antonio Pediatric Surgery Associates)
• Bexar Physical Therapy, LLC (Peak Performace Physical Therapy)
• Bexar Physician Services, PLLC

• 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 Aug 31, 2018; 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.