Advanced Diagnostic Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVANCED DIAGNOSTIC LABORATORY

Practice address

1077 Central Pkwy S Ste 200
San Antonio, TX 78232-5034

Phone

(210) 982-4000

Fax

(210) 982-4001

NPI assigned

Jul 15, 2020

Last updated

May 12, 2021By 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

Mr. John Switzer McFadden Sr.

Title

Managing Partner

Phone

(210) 982-4000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1871101808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 CENTRAL PKWY S STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325034",
            "telephone_number": "210-982-4000",
            "fax_number": "210-982-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 CENTRAL PKWY S STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325034",
            "telephone_number": "210-982-4000",
            "fax_number": "210-982-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SWITZER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "210-982-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.