Active NPI
Avanti Laboratories, LLC
- Clinical Medical Laboratory
- San Antonio, TX
National Provider Identifier
1982165908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AVANTI LABORATORIES, LLC
- Practice address
- 104 Gallery Cir
San Antonio, TX 78258-3329 - Phone
- (843) 655-3280
- NPI assigned
- Mar 31, 2019
- 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
- Tony Osko
- Title
- President
- Phone
- (843) 655-3280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
104 Gallery Cir
San Antonio, TX 78258-3329
Mailing address
PO Box 94285
Seattle, WA 98124-6585
Phone (843) 429-1530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411383901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200331003110 | TX | Part B Supplier - Independent Clinical Laboratory | 3173952850 | Practice locations: San Antonio, TX |
National Provider Directory
National Provider DirectoryLocations
104 Gallery Cir
Ste 106
San Antonio, TX 78258
Phone (843) 655-3280
104 Gallery Cir
San Antonio, TX 78258
Phone (843) 655-3280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1982165908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94285",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981246585",
"telephone_number": "843-429-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 GALLERY CIR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583329",
"telephone_number": "843-655-3280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVANTI LABORATORIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-31",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "OSKO",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-655-3280"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411383901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 17, 2025; 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.