Active NPI
LRD Texas LLC
Doing business as San Antonio Medical Laboratories
- Clinical Medical Laboratory
- San Antonio, TX
National Provider Identifier
1881206811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LRD TEXAS LLC
- Doing business as
- San Antonio Medical Laboratories
- Practice address
- 8812 Broadway Ste B
San Antonio, TX 78217-6318 - Phone
- (602) 499-2672
- NPI assigned
- Aug 20, 2020
- Last updated
- Feb 23, 2022
- 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
- Authorized Agent
- Title
- Agent
- Phone
- (602) 499-2672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
8812 Broadway Ste B
San Antonio, TX 78217-6318
Mailing address
PO Box 2135
Chandler, AZ 85244-2135
Other names 1
- SAN ANTONIO MEDICAL LABORATORIES
National Provider Directory
National Provider DirectoryLocations
2100 N State Highway 360
Ste 302
Grand Prairie, TX 75050
Phone (972) 602-0028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645574400000",
"number": "1881206811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2135",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852442135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8812 BROADWAY STE B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176318",
"telephone_number": "602-499-2672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LRD TEXAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-20",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A",
"authorized_official_last_name": "AGENT",
"authorized_official_first_name": "AUTHORIZED",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "602-499-2672"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAN ANTONIO MEDICAL LABORATORIES",
"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 Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.