Austin Gastroenterology Pa in Austin - Clinical Medical Laboratory
Austin Gastroenterology Pa - NPI 1619055365
Austin Gastroenterology Pa is a Clinical Medical Laboratory in Austin, Texas. Austin Gastroenterology Pa practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Austin Gastroenterology Pa is 1619055365. The last update date is 2014-02-24.
Austin Gastroenterology Pa's current location address is 8015 Shoal Creek Blvd Ste 116, Austin, Texas. You can contact this provider via phone number 5124200186 and fax number 5124200397. The mailing address for Austin Gastroenterology Pa is 8015 Shoal Creek Blvd Ste 116, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Austin Gastroenterology Pa |
|---|---|
| Address | 8015 Shoal Creek Blvd Ste 116, Austin, Texas |
| Phone Number | 5124200186 |
| Fax Number | 5124200397 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Levy A Bruce |
| Credentials | MD, JD |
| Telephone Number | 5124855879 |
NPI Number Detail
| NPI Number | 1619055365 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2014-02-24 |
Provider Mailing Address Detail
| Address | 8015 Shoal Creek Blvd Ste 116 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787578051 |
| Phone Number | 5124200186 |
| Fax Number | 5124200397 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 45D1056054 |
|
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45D1056054 | TX | CMS CLIA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Austin Gastroenterology Pa by the Centers for Medicare & Medicaid Services?
The Austin Gastroenterology Pa has been assigned the NPI (National Provider Identifier) 1619055365 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Austin Gastroenterology Pa is physically located?
The Austin Gastroenterology Pa is situated at the following address: 8015 Shoal Creek Blvd Ste 116, Austin, TX 787578051.
What is Austin Gastroenterology Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Austin Gastroenterology Pa's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619055365 to Austin Gastroenterology Pa?
The Centers for Medicare & Medicaid Services assigned the 1619055365 to Austin Gastroenterology Pa on 2006-11-01.
When was the information regarding Austin Gastroenterology Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Austin Gastroenterology Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-24.
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