Organization
QUALITY TOXICOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA TRIPP (CFO)
(210) 463-9195
Entity
Organization
Contact information
Practice address
4726 SHAVANO OAK, SUITE 107, SAN ANTONIO, TX 78249-4033
(210) 463-9191
(210) 463-9190
Mailing address
4726 SHAVANO OAK STE 107, SAN ANTONIO, TX 78249-4029
(210) 463-9191
(210) 463-9190
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338461201
—
TX
Enumeration date
02/08/2013
Last updated
09/30/2020
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