Acme Orthopedic Labs, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

101148 Issued in TX

Legal business name

ACME ORTHOPEDIC LABS, LLC

Practice address

2411 NE Loop 410 Ste 112
San Antonio, TX 78217-6600

Phone

(210) 655-5227

Fax

(210) 646-0585

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shey Campbell

Title

Office Manager

Phone

(210) 655-5227

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1962685149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 NE LOOP 410 STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176600",
            "telephone_number": "210-655-5227",
            "fax_number": "210-646-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 NE LOOP 410 STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176600",
            "telephone_number": "210-655-5227",
            "fax_number": "210-646-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACME ORTHOPEDIC LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-655-5227",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0078720",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Longbotham Ackley, MD
• Acm Colon and Rectal Associates PLLC
• Acme Assist, PLLC
• Acme Diagnostic Affiliates LLC
• Acme Medical, PLLC
• Acme Spine and Neck Clinic, LLC
• Hunter Ryan Acord, DDS
• Joseph George Acord III, RN
• Acorn Pediatrics of San Antonio
• Mary I. Acosta Granger, LCSW

• Prosthetic/Orthotic Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.