Organization
TRI-STATE TOXICOLOGY LLC
Active
Parent organization
TRI-STATE TOXICOLOGY LLC
Other names
TRI-STATE TOXICOLOGY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE TOXICOLOGY LLC
Authorized official
MR. BRANDON OMAR GOMEZ (OWNER)
(210) 571-1300
Entity
Organization
Contact information
Practice address
422 W NAKOMA ST, SAN ANTONIO, TX 78216-2623
(210) 571-1300
(210) 519-2811
Mailing address
422 W NAKOMA ST, SAN ANTONIO, TX 78216-2623
(210) 571-1300
(210) 519-2811
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
J1691
TX
Other
Enumeration date
02/12/2013
Last updated
08/08/2022
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