Mission Toxicology LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MISSION TOXICOLOGY LLC

Practice address

4115 Medical Dr Ste 303
San Antonio, TX 78229-5636

Phone

(210) 837-5159

NPI assigned

Jun 16, 2013

Last updated

Jun 16, 2013By 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

Jesse SaucedoNPI 1891250742

Title

Managing Member

Phone

(210) 837-5159

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Saucedo

  • Medical Specialty Clinic/Center
  • San Antonio, TX
  • NPI 1891250742
  Authorized official Same address or phone

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371340800000",
    "number": "1841639580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295636",
            "telephone_number": "210-837-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION TOXICOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-837-5159"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Road Developmental Center
• Mission Road Developmental Center
• Mission Road Developmental Center
• Mission Surgery Center LLC
• Mission Therapy and Publications, Inc.
• Mission Trail Mental Health Clinic PLLC
• Mission Trail OB/GYN Associates, PLLC
• Mission Vascular Specialists Corp
• Mission Vista Behavioral Health Services, Inc. (Mission Vista Hospital)
• Madeline Mistich, PT, DPT

• 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 Jun 16, 2013; 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.