Active NPI
Southwest Immunodiagnostics, Inc.
- Clinical Medical Laboratory
- San Antonio, TX
National Provider Identifier
1962479048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SOUTHWEST IMMUNODIAGNOSTICS, INC.
- Practice address
- 8122 Datapoint Dr
Suite 912
San Antonio, TX 78229-3272 - Phone
- (210) 614-3703
- Fax
- (210) 615-8186
- NPI assigned
- Mar 7, 2006
- 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
- Lynda Atwood
- Title
- Cfo
- Phone
- (210) 614-3703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
8122 Datapoint Dr
Suite 912
San Antonio, TX 78229-3272
Mailing address
8122 Datapoint Dr
Suite 912
San Antonio, TX 78229-3272
Phone (210) 614-3703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060803000304 | TX | Part A Provider - Histocompatibility Laboratory | 3870517915 | Practice locations: San Antonio, TX |
National Provider Directory
National Provider DirectoryLocations
8122 Datapoint Dr
Ste 912
San Antonio, TX 78229
Phone (210) 614-3703
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Medical Laboratory
- Fair Oaks Ranch, TX
- NPI 1053818310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962479048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8122 DATAPOINT DR",
"address_2": "SUITE 912",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293272",
"telephone_number": "210-614-3703",
"fax_number": "210-615-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8122 DATAPOINT DR",
"address_2": "SUITE 912",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293272",
"telephone_number": "210-614-3703",
"fax_number": "210-615-8186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST IMMUNODIAGNOSTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ATWOOD",
"authorized_official_first_name": "LYNDA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "210-614-3703"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Southwest Health Center PA
- Southwest Healty Living (Nutrawise)
- Southwest Home Health Care Services of San Antonio, LLC (Southwest Home Health Care)
- Southwest Home Health Care, LP
- Southwest House-Call Physicians PA
- Southwest Isd
- Southwest LTC - San Antonio Alf, LLC (Colonial Gardens of San Antonio SA-1)
- Southwest LTC - San Antonio Alf, LLC (Colonial Gardens of San Antonio SA-2)
- Southwest Medical Staffing, LLC. (Southwest Medical Home Health and Hospice Services)
- Southwest Neurocardiac Center PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.