Organization Active NPI

LRD Texas LLC

Doing business as San Antonio Medical Laboratories

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1881206811
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.