ARCLIGHT MBC LLC
NPI 1558998336
Family Medicine in San Antonio, TX

Q: What is Arclight Mbc LLC's NPI number?

The NPI number for Arclight Mbc LLC is 1558998336. It was assigned to this organization in the NPPES registry on March 24, 2020.

Q: What is Arclight Mbc LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Arclight Mbc LLC was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2020CLIA 45D2257503 · Waiver

1535 BRADY BLVD, STE #2, SAN ANTONIO, TX 78237(210) 598-6868 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2020, Mar 24, 2020 (2 updates tracked since 2020).

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About Arclight Mbc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARCLIGHT MBC LLC (NPI 1558998336) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Pete Kosko, Owner, as its authorized official.

NPPES Registry Identity

NPI1558998336

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameARCLIGHT MBC LLC

Location Address1535 BRADY BLVD, STE #2San Antonio, TX 78237-4355

Mailing Address1535 Brady Blvd, Ste #2San Antonio, TX 78237-4355 · (210) 598-6868

Phone(210) 598-6868

Organization SubpartNo

Authorized OfficialPete KoskoOwner · (210) 416-1314

Enumeration DateMarch 24, 2020

Last NPPES UpdateApril 15, 20202 updates tracked since enumeration

NPPES CertifiedApril 15, 2020

✔ NPI 1558998336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X

Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X

1535 BRADY BLVD, San Antonio, TX 78237

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2257503

Arclight Mbc LLC · San Antonio, TX

Active · expires Apr 5, 2028

CLIA Number45D2257503

Laboratory TypePhysician Office

Certificate Effective DateApril 6, 2026

Certificate Expiration DateApril 5, 2028

Laboratory DirectorTroy R. Johnson

Laboratory Phone(210) 432-8800

Laboratory LocationArclight Mbc LLC12000 Network Blvd Building D Ste 410, San Antonio, TX 78249

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHURMED EMERGENCY MEDICAL SERVICE LLC

Ambulance (Land Transport)

1535 BRADY BLVD
SAN ANTONIO, TX 78237

Bexar County (210) 432-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arclight Mbc LLC's NPI number?

The NPI number for Arclight Mbc LLC is 1558998336. It was assigned to this organization in the NPPES registry on March 24, 2020.

Where is Arclight Mbc LLC located?

Arclight Mbc LLC is located at 1535 Brady Blvd Ste #2, San Antonio, TX 78237. The listed phone number is (210) 598-6868.

What is Arclight Mbc LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Arclight Mbc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2257503) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arclight Mbc LLC was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.