Discovery Tox, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2089741 Issued in TX

Legal business name

DISCOVERY TOX, LLC

Practice address

11620 Airway Blvd
Unit 102, Suite B
Roanoke, TX 76262-3632

Phone

(682) 831-1675

Fax

(682) 831-1396

NPI assigned

Feb 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Frank Vega

Title

Owner

Phone

(682) 831-1675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1962893586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 AIRWAY BLVD",
            "address_2": "UNIT 102 SUITE B",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762623632",
            "telephone_number": "682-831-1675",
            "fax_number": "682-831-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 AIRWAY BLVD",
            "address_2": "UNIT 102, SUITE B",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762623632",
            "telephone_number": "682-831-1675",
            "fax_number": "682-831-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY TOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-831-1675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2089741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.