Mission Pharmacal

LBN: Specialty Laboratories, Inc.
Mission Pharmacal is an health care organization with primary practice located at 1325 E Durango Blvd , San Antonio TX 78210-1724. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty. Specialty Laboratories, Inc. can be contacted via phone (210) 581-0574, or through Greene, Michael via phone (214) 932-8270.

Contact Information

Primary practice address
1325 E Durango Blvd San Antonio TX 78210-1724
Phone: (210) 581-0574
Fax: (210) 581-1456
Website:
Map and Directions
Authorized official contact:
Name: Greene, Michael
Phone: (214) 932-8270

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0028276B Texas
Laboratories / Clinical Medical Laboratory 291U00000X Texas

Profile Details

NPI number 1659364784
LBN Legal business name Specialty Laboratories, Inc.
DBA Doing business as Mission Pharmacal
Authorized official Greene, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 24th, 2005
Last updated Apr 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659364784 NPPES
North Carolina MEDICAID 7001173
North Carolina MEDICAID LOCL81784
North Carolina MEDICAID 98800089
North Carolina MEDICAID 01648843
North Carolina MEDICAID 0805777
North Carolina MEDICAID 0000420325
North Carolina MEDICAID 10031209A
North Carolina MEDICAID 424507
North Carolina MEDICAID 741041775001
North Carolina MEDICAID L00085
North Carolina MEDICAID 2046360
North Carolina MEDICAID 0511352
North Carolina MEDICAID 1540056
North Carolina MEDICAID 00738845A
North Carolina MEDICAID XLAB01421

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