Organization Active NPI

Equilibrium Scientific LLC

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1811688104
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EQUILIBRIUM SCIENTIFIC LLC
Doing business as
Equilibrium Diagnostics
Practice address
412 W Rhapsody Dr FL 1
San Antonio, TX 78216-3110
Phone
(210) 237-8557
Fax
(210) 783-8835
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Sean Villasana
Title
Ceo
Phone
(210) 237-8557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

412 W Rhapsody Dr FL 1
San Antonio, TX 78216-3110

Mailing address

412 W Rhapsody Dr FL 1
San Antonio, TX 78216-3110
Phone (210) 237-8557

Other names 1

  • Equilibrium Diagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230718000249 TX Part B Supplier - Independent Clinical Laboratory 7113387531 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2284032Equilibrium Diagnostics412 W Rhapsody, San Antonio, TX 78216AccreditationMay 27, 2028

National Provider Directory

National Provider Directory

Locations

2166 W Park Ct
Ste F
Stone Mtn, GA 30087
Phone (770) 696-2522

100 Tri State Intl
Ste 100
Lincolnshire, IL 60069
Phone (847) 393-4555

40 Enterprise Blvd
Ste 101
Bozeman, MT 59718

1000 Bear Cat Way
Ste 107
Morrisville, NC 27560
Phone (919) 650-3370

412 W Rhapsody Dr
Fl 1
San Antonio, TX 78216
Phone (210) 237-8557

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1811688104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W RHAPSODY DR FL 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163110",
            "telephone_number": "210-237-8557",
            "fax_number": "210-783-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W RHAPSODY DR FL 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163110",
            "telephone_number": "210-237-8557",
            "fax_number": "210-783-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM SCIENTIFIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "VILLASANA",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-237-8557"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equilibrium Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Equilibrium Diagnostics",
            "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 Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.