Provider Demographics
NPI:1972011302
Name:QUAD HEALTH SERVICES
Entity Type:Organization
Organization Name:QUAD HEALTH SERVICES
Other - Org Name:ADVANCED TOXICOLOGY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF TOXICOLOGY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-793-8854
Mailing Address - Street 1:4939 DE ZAVALA RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2001
Mailing Address - Country:US
Mailing Address - Phone:210-202-0934
Mailing Address - Fax:
Practice Address - Street 1:4939 DE ZAVALA RD STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2001
Practice Address - Country:US
Practice Address - Phone:210-202-0934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory