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COMPLETE DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIKA QUINTANILLA (DIRECTOR OF OPERATIONS)
(210) 559-5549
Entity
Organization

Contact information

Practice address
102 BABCOCK RD, STE 103, SAN ANTONIO, TX 78201-3952
(210) 248-9636
(210) 479-4057
Mailing address
102 BABCOCK RD, STE 103, SAN ANTONIO, TX 78201-3952
(210) 248-9636
(210) 479-4057

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
291U00000X
Clinical Medical Laboratory
150211
TX
293D00000X
Physiological Laboratory
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
091582903
TX
Enumeration date
01/19/2007
Last updated
11/03/2020
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