Diabetic Testing Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0055752 Issued in TX

Legal business name

DIABETIC TESTING SUPPLY LLC

Practice address

4204 Gardendale
San Antonio, TX 78229-3132

Phone

(210) 593-9283

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rodney Dale Gray, RCP. CRT

Title

Owner

Phone

(210) 593-9283

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1902088073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293132",
            "telephone_number": "210-593-9283",
            "fax_number": "210-593-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293132",
            "telephone_number": "210-593-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC TESTING SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-593-9283",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP. CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0055752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156622601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diabetes and Glandular Disease Clinic Certified Diabetes Education Cen
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• Diabetes Education and Management Clinic
• Diabetes Specialty Supply LLC
• Diabetex of Texas, LLC.
• Diabetica Solutions Inc
• Diadem Physical Therapy
• Diagnostic and Natural Health Center, P.a.
• Diagnostic Staffing Solutions, LLC
• Martha Sue Dial, LPC, LMFT

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.