Organization
CENTER FOR DISEASE DETECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
11603 CROSSWINDS WAY STE 100, SAN ANTONIO, TX 78233-6005
(210) 590-3033
(210) 590-3121
Mailing address
PO BOX 659509, SAN ANTONIO, TX 78265-9509
(210) 590-3033
(210) 590-3121
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003126019
CONNECTICUT
—
01
—
033332
FAMILY HEALTH PARTNERS
—
01
—
0793742
COLORADO MEDICAID
CO
01
—
095210302
AMERIGROUP TEXAS INC
—
05
—
095210302
—
TX
01
—
156260709
ARKANSAS MEDICAID
AR
01
—
20039659
AMERIHEALTH MERCY
—
01
—
232921142000
CARESOURCE
—
01
—
565848
CCN
—
01
—
690000009
ALABAMA MEDICAID
AL
01
—
7106123
ADAPTIS
—
01
—
730813
BUCKEYE COMMUNITY PLAN
—
01
—
976813
ARIZONA MEDICAID
—
01
—
CL5132
BLUECROSS BLUESHIELD
TX
01
—
LB142TX
ALASKA MEDICAID
—
01
—
XLAB60475
CALIFORNIA MEDI-CAL
CA
Enumeration date
10/03/2006
Last updated
12/14/2017
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