AYASS LUNG CLINIC, PLLC


Address: 8501 Wade Blvd Ste 750, Frisco, TX 75034-6437
Phone: 9726686005

AYASS LUNG CLINIC, PLLC (NPI# 1417450537) 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) 1417450537
Entity Type Organization
Organization Name AYASS LUNG CLINIC, PLLC
Other Organization Name AYASS LAB
Practice Address 8501 Wade Blvd Ste 750
Frisco
TX 75034-6437
Mailing Address 223 S Abe St
San Angelo
TX 76903-6305
Practice Telephone 9726686005
Practice Fax Number 9726686720
Mailing Telephone 3256557969
Mailing Fax Number 3256557976
Enumeration Date 2018-03-15
Last Update Date 2018-03-17
Authorized Official Name ELIZABETH ANN JACOBO (CREDENTIALING MANAGER)
Authorized Official Telephone 3256557969
Is Organization Subpart Y
Parent Organization Name AYASS LUNG CLINIC, PLLC

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX BC/BS CL5981 01

Other Provider/Organization Names

Other Name Type Code
Ayass Lab Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
3021 Green Meadow Dr, San Angelo, TX 769046975 3252231800 3252231810

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487768172 Ayass Lung Clinic, Pllc Internal Medicine 3021 Green Meadow Dr, San Angelo, TX 76904-6975 2006-08-18

Office Location

Street Address 8501 WADE BLVD STE 750
City FRISCO
State TX
Zip Code 75034-6437

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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.

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1558749713 Kaiser Foundation Health Plan of Colorado Clinical Medical Laboratory 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 2015-05-08
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City FRISCO
Zip Code 75034

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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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