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1962685149 NPI number — ACME ORTHOPEDIC LABS, LLC

NPI Number: 1962685149
Health Care Provider/Practitioner: ACME ORTHOPEDIC LABS, LLC

Information about “1962685149” NPI (ACME ORTHOPEDIC LABS, LLC) exists in 1962685149 in HTML format HTML  |  1962685149 in plain Text format TXT  |  1962685149 in PDF (Portable Document Format) PDF  |  1962685149 in an XML format XML  formats.

NPI Number : 1962685149 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962685149",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ACME ORTHOPEDIC LABS, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2411 NE LOOP 410 STE 112",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78217-6600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-655-5227",
    "MailingAddressFaxNumber": "210-646-0585",
    "FirstLinePracticeLocationAddress": "2411 NE LOOP 410 STE 112",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78217-6600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-655-5227",
    "PracticeLocationAddressFaxNumber": "210-646-0585",
    "EnumerationDate": "12/11/2007",
    "LastUpdateDate": "12/11/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CAMPBELL",
    "AuthorizedOfficialFirstName": "SHEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "210-655-5227",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "0078720",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "101148",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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