TEXAS DEPARTMENT OF STATE HEALTH (NPI# 1114931391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114931391 |
| Entity Type | Organization |
| Organization Name | TEXAS DEPARTMENT OF STATE HEALTH |
| Other Organization Name | DEPARTMENT OF STATE HEALTH SERVICES (DSHS) CENTRAL LAB |
| Practice Address |
1100 W 49th St Austin TX 78756-3101 |
| Mailing Address |
Po Box 149347 Dshs- Central Lab/zz320/mc 2004 Austin TX 78714-9347 |
| Practice Telephone | 5124587111 |
| Practice Fax Number | 5124587588 |
| Mailing Telephone | 5124587111 |
| Mailing Fax Number | 5124587588 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | MS. BARBARA SUZANNE KELLY-KING (BILLING BRANCH MANAGER) |
| Authorized Official Telephone | 5127762589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | TX | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN (PROVIDER TRANSACTION ACCESS NUMBER) | CL1119 | 01 |
| TX | 0254062-01 | 05 |
| Other Name | Type Code |
|---|---|
| Department of State Health Services (DSHS) Central Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902824881 | Texas Department of State Health | Clinical Medical Laboratory | 1301 S Rangerville Rd, Harlingen, TX 78552-7610 | 2006-07-18 |
| Street Address |
1100 W 49TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129481 | Lisa Cornelius | Internal Medicine | 1100 W 49th St, Austin, TX 78756-3101 | 2006-03-24 |
| 1164981874 | Umoh Cloud | Case Manager/Care Coordinator | 1100 W 49th St, Austin, TX 78756-3101 | 2019-03-13 |
| 1033470158 | Raubby Sabalerio | Preventive Medicine | 1100 W 49th St, Mc 1865, Austin, TX 78756-3101 | 2012-06-05 |
| 1710253125 | Becky Jean Nichols | Registered Nurse | 1100 W 49th St, #m434, Austin, TX 78756-3101 | 2012-03-29 |
| 1720351505 | Lillian Macon Ringsdorf | Preventive Medicine | 1100 W 49th St, Austin, TX 78756-3101 | 2012-02-09 |
| 1083904965 | Department of State Health Services | Public Health or Welfare | 1100 W 49th St, Austin, TX 78756-3101 | 2011-04-13 |
| 1053549097 | Vy Ha Nguyen | Dentist | 1100 W 49th St, Austin, TX 78756-3101 | 2009-06-29 |
| 1043455322 | Adolfo Miguel Valadez | Internal Medicine | 1100 W 49th St, G 401, Austin, TX 78756-3101 | 2008-12-15 |
| 1487771457 | Susan Carol Penfield | Pediatrics | 1100 W 49th St, Austin, TX 78756-3101 | 2007-03-23 |
| 1760564314 | Catherine Jennifer Hough Sr. | Case Manager/Care Coordinator | 1100 W 49th St, Austin, TX 78756-3101 | 2006-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554098 | Discover Labs LLC | Clinical Medical Laboratory | 13776 N Us Highway 183 Ste 108, Austin, TX 78750-1875 | 2020-10-06 |
| 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 |
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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.