LIBERTY LABS LLC (NPI# 1346624202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346624202 |
| Entity Type | Organization |
| Organization Name | LIBERTY LABS LLC |
| Practice Address |
4316 James Casey St Building F Austin TX 78745-1116 |
| Mailing Address |
Po Box 702197 Dallas TX 75370-2197 |
| Practice Telephone | 5127980030 |
| Practice Fax Number | 5126408740 |
| Mailing Telephone | 2143779845 |
| Mailing Fax Number | 2147580695 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | MR. DOUG BENSON (CONTROLLER) |
| Authorized Official Telephone | 2143779845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346604 | Liberty Labs LLC | Clinical Medical Laboratory | 1700 Nw 65th Ave Ste 13, Plantation, FL 33313-4558 | 2018-05-14 |
| Street Address |
4316 JAMES CASEY ST BUILDING F |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721829 | Jeffrey W Fluitt | Chiropractor | 4316 James Casey St, Bldg B, Suite 201, Austin, TX 78745-1116 | 2005-06-27 |
| 1528625407 | Kyle Gardner | Chiropractor | 4316 James Casey St, Austin, TX 78745-1116 | 2019-05-25 |
| 1558823591 | Madison Casper | Physician Assistant | 4316 James Casey St, Austin, TX 78745-1116 | 2019-04-01 |
| 1164909529 | Dipti Ashmita Schraegle | Clinical Nurse Specialist | 4316 James Casey St, Austin, TX 78745-1116 | 2018-07-27 |
| 1003329236 | Jessica Anne Brown | Nurse Practitioner | 4316 James Casey St, Austin, TX 78745-1116 | 2017-11-09 |
| 1093174278 | Jordan E Waldron | Physician Assistant | 4316 James Casey St, Bldg B Ste 201, Austin, TX 78745-7874 | 2016-02-17 |
| 1184097982 | Imaging Partners of Austin LLC | Clinic/Center | 4316 James Casey St, F-110b, Austin, TX 78745-1116 | 2015-11-03 |
| 1205203346 | Imaging Partners of Austin LLC | Clinic/Center | 4316 James Casey St, Suite F110-b, Austin, TX 78745-1116 | 2015-08-24 |
| 1235514704 | Central Texas Pain Center North, Pllc | Pain Medicine | 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 | 2015-07-27 |
| 1376935031 | Btdi Jv, LLP | Physiological Laboratory | 4316 James Casey St, Suite E-1, Austin, TX 78745-1116 | 2015-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
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| 1225644958 | Xyz Molecular Diagnostic Lab Consulting | Clinical Medical Laboratory | 2009 Ranch Road 620 N Suite 325, Austin, TX 78734-2601 | 2020-09-17 |
| 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 |
| Find all providers in AUSTIN | ||||
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| 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.