Organization Active NPI

Oracle Tech Diagnostic Labs LLC

  • Phlebotomy Technician
  • San Antonio, TX
National Provider Identifier
1821691312
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
ORACLE TECH DIAGNOSTIC LABS LLC
Doing business as
Oracle Tech Diagnostic Labs
Practice address
8203 Fredericksburg Rd
San Antonio, TX 78229-3313
Phone
(210) 541-4688
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Monique Momand
Title
Owner
Phone
(201) 993-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

8203 Fredericksburg Rd
San Antonio, TX 78229-3313

Mailing address

8203 Fredericksburg Rd
San Antonio, TX 78229-3313
Phone (210) 541-4688

Other names 1

  • Oracle Tech Diagnostic Labs Doing business as

National Provider Directory

National Provider Directory

Locations

8600 Wurzbach Rd
Ste 1022
San Antonio, TX 78240
Phone (210) 462-9737

8203 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 571-7293

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1821691312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293313",
            "telephone_number": "210-541-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293313",
            "telephone_number": "210-541-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE TECH DIAGNOSTIC LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "MOMAND",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-993-5100"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oracle Tech Diagnostic Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oracle Tech Diagnostic Labs",
            "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 Oct 9, 2023; 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.