CLINICAL PATHOLOGY LABORATORIES, INC.


Address: 9200 Wall St, Austin, TX 78754-4534
Phone: 5123391275

CLINICAL PATHOLOGY LABORATORIES, INC. (NPI# 1194769497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194769497
Entity Type Organization
Organization Name CLINICAL PATHOLOGY LABORATORIES, INC.
Practice Address 9200 Wall St
Austin
TX 78754-4534
Practice Telephone 5123391275
Practice Fax Number 5128735069
Mailing Telephone 5123391275
Mailing Fax Number 5128735069
Enumeration Date 2006-06-16
Last Update Date 2019-09-05
Authorized Official Name BOBBY SMITHSON (PRESIDENT)
Authorized Official Telephone 5123391275
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 45D0505003 TX Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
OK 100758860A 05
TX 025348601 05
AR 148650709 05
OH 2588490 05
LA 1124176 05
NM 81888074 05
RAIL ROAD MEDICARE 690001592 01
FL 031821300 05
NV 1194769497 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
12276 San Jose Blvd Ste 704, Jacksonville, FL 322238674 9042920300 9042920301

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CLINICAL PATHOLOGY LABORATORIES, INC. 9200 Wall St, Austin, TX 78754-4534
Oklahoma Business Registrations CLINICAL PATHOLOGY LABORATORIES, INC. 9200 Wall St, Austin, TX 78754

Office Location

Street Address 9200 WALL ST
City AUSTIN
State TX
Zip Code 78754-4534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285695577 Robert Emmet Connor Pathology 9200 Wall St, Austin, TX 78754-4534 2006-03-28
1174925440 Sonic Reference Laboratory, Inc Clinical Medical Laboratory 9200 Wall St, Suite 200, Austin, TX 78754-4534 2014-09-18
1275599128 Cheryl Parra Pathology 9200 Wall St, Austin, TX 78754-4534 2006-04-20
1316902745 Shery. Diane Michels Pathology 9200 Wall St, Austin, TX 78754-4534 2006-04-19
1134184542 Gerald Jacknow Pathology 9200 Wall St, Austin, TX 78754-4534 2006-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104425214 Paul Lewis Duffy Counselor Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 2020-10-20
1174006324 Lannie Hood Licensed Practical Nurse 9017 Wellesley Dr, Austin, TX 78754 2018-09-13
1013499680 Angela Mccaughey Physical Therapy Assistant 6513 Boyce Ln, Austin, TX 78754 2018-08-30
1518484351 St. Teresa of Calcutta Home Health, LLC Home Health Aide 12609 Dessau Rd. Lot 313, Austin, TX 78754 2017-08-23
1386050573 Tuyen Dao Pharmacist 11403 Birchover Lane, Austin, TX 78754 2014-07-08
1568895829 Cameron Diagnostic Center, Inc Contractor 7901 Cameron Rd.bldg.2 Suite 143, Austin, TX 78754 2013-08-09
1427495415 Universal Diagnostic Services Inc Specialist 7901 Cameron Rd Bldg 2, Suite 144, Austin, TX 78754 2013-05-30
1598044414 Sleiman Weight Loss Centers Pa Family Medicine 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 2011-08-09
1922321462 Nowling Home Healthcare Inc Hospice Care, Community Based 7901 Cameron, Building 3 Suite 135, Austin, TX 78754 2010-03-11
1760714240 Shireen Connor Social Worker 1611 Headway Circle, Bldg. 2, Austin, TX 78754 2010-02-08
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy 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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

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1205440435 Toth Enterprises, II Pa Clinical Medical Laboratory 2110 W Ben White Blvd, Austin, TX 78704-7507 2020-09-04
1548885304 Virtis Diagnostic Services, LLC Clinical Medical Laboratory 3901 Medical Pkwy Ste 300b, Austin, TX 78756-4022 2020-06-08
1689211575 H-e-b, Lp Clinical Medical Laboratory 8801 S Congress Ave, Austin, TX 78745-7389 2019-12-10
1396382552 H-e-b, Lp Clinical Medical Laboratory 1601 Trinity St Bldg A Ste 105, Austin, TX 78712 2019-12-06
1245876234 Us Lab Group, LLC Clinical Medical Laboratory 4150 Freidrich Ln Ste G, Austin, TX 78744-1052 2019-11-25
1174172845 Olympus Clinical Laboratories,inc Clinical Medical Laboratory 11211 Taylor Draper Ln Ste 105, Austin, TX 78759-3971 2019-09-05
1497239230 Genalyte, Inc Clinical Medical Laboratory 1624 Headway Cir Ste 100, Austin, TX 78754-5176 2018-09-18
1215447198 Y Lab Group LLC Clinical Medical Laboratory 14109 Fm 969 Ste 500, Austin, TX 78724-6364 2017-10-05
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City AUSTIN
Zip Code 78754

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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