Organization
ACME ORTHOPEDIC LABS, LLC
Active
Organization
ACME ORTHOPEDIC LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEY CAMPBELL (OFFICE MANAGER)
(210) 655-5227
Entity
Organization
Contact information
Practice address
2411 NE LOOP 410 STE 112, SAN ANTONIO, TX 78217-6600
(210) 655-5227
(210) 646-0585
Mailing address
2411 NE LOOP 410 STE 112, SAN ANTONIO, TX 78217-6600
(210) 655-5227
(210) 646-0585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0078720
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
101148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531866
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/11/2007
Last updated
12/11/2007
Update your record
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