Organization
ECLIPSE TOXICOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SIVARAMAN (BILLING MANAGER)
(214) 618-5600
Entity
Organization
Contact information
Practice address
1077 CENTRAL PKWY SOUTH STE 300, SAN ANTONIO, TX 78232-5034
(214) 618-5600
(214) 618-7733
Mailing address
LOCK BOX 4346 DEPT 162, HOUSTON, TX 77210-4346
(214) 618-5600
(214) 618-7733
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2098712
CLIA
—
Enumeration date
03/31/2015
Last updated
07/27/2015
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