Active NPI
Equilibrium Scientific LLC
- Clinical Medical Laboratory
- San Antonio, TX
National Provider Identifier
1811688104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230718000249 | TX | Part B Supplier - Independent Clinical Laboratory | 7113387531 | Practice locations: San Antonio, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2284032 | Equilibrium Diagnostics | Accreditation | May 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.