DOCTORS GENERAL LABORATORY (NPI# 1891796256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891796256 |
| Entity Type | Organization |
| Organization Name | DOCTORS GENERAL LABORATORY |
| Practice Address |
12501 Hymeadow Dr Suite 2b Austin TX 78750-2263 |
| Practice Telephone | 5129960900 |
| Practice Fax Number | 5126924596 |
| Mailing Telephone | 5129960900 |
| Mailing Fax Number | 5126924596 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2013-05-22 |
| Authorized Official Name | MR. DAVID S WEINER (C.E.O.) |
| Authorized Official Telephone | 5129960900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | DOCTORS GENERAL LABORATORY SERVICES INC. | 6111 Harrison Street, Suite 122, Merrillville, IN 46410 |
| Street Address |
12501 HYMEADOW DR SUITE 2B |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649724121 | David Karnes | Counselor | 12501 Hymeadow Dr, Building 1 Suite F, Austin, TX 78750-2263 | 2016-08-12 |
| 1710339049 | Litza Maria Lefebre Dorta | Dentist | 12501 Hymeadow Dr, #1a, Austin, TX 78750-2263 | 2016-07-11 |
| 1811270457 | Nevin Karkoutly Allan | Dentist | 12501 Hymeadow Dr, Ste 1a, Austin, TX 78750-2263 | 2011-09-20 |
| 1427212554 | Children's Evaluation and Therapy Center | Occupational Therapist | 12501 Hymeadow Dr, Suite F, Austin, TX 78750-2263 | 2008-07-17 |
| 1447314380 | Carol Sue Mitchum | Counselor | 12501 Hymeadow Dr, Suite 1e, Austin, TX 78750-2263 | 2006-12-21 |
| 1962578492 | Diana L. H. Hiebeler | Occupational Therapist | 12501 Hymeadow Dr, Bldg. 1, Suite F, Austin, TX 78750-2263 | 2006-11-27 |
| 1770660466 | Dianne Hill Tannreuther | Occupational Therapist | 12501 Hymeadow Dr, Suite F, Austin, TX 78750-2263 | 2006-11-01 |
| 1215949169 | Padma Krothapalli Horvit | Internal Medicine | 12501 Hymeadow Dr, Building 1 Suite C, Austin, TX 78750-2263 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843518 | Mydental At Anderson Mill Pllc | Dentist | 13450 N Highway 183 Ste 237a, Austin, TX 78750 | 2018-06-05 |
| 1003305442 | Brendan Michael Harvey | Counselor | 12343 Hymeadow Dr Ste 2h, Austin, TX 78750 | 2018-05-01 |
| 1033621339 | Dr. Grant Glauser Dds Pllc | Clinic/Center | 12401 Hymeadow Dr, Bldg 5, Austin, TX 78750 | 2017-10-27 |
| 1649798166 | Poest Dental Pllc | Dentist | 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 | 2017-09-05 |
| 1255858031 | Pearl Priscilla Martinez | Marriage & Family Therapist | 13359 N Highway 183 Ste 406-611, Austin, TX 78750 | 2017-08-23 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1790138691 | Dr. Marc Amsili | Dentist | 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 | 2016-07-15 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1275960460 | Kristyn Magoon | Physician Assistant | 13617 Caldwell Dr., Suite 100, Austin, TX 78750 | 2013-10-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| Find all providers in zip 78750 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649662305 | Btdi Jv, LLP | Physiological Laboratory | 15808 Rr 620 N, Suite 110, Austin, TX 78717-4922 | 2015-03-04 |
| 1821480583 | Btdi Jv, LLP | Physiological Laboratory | 11575 Jollyville Rd, Austin, TX 78759-4028 | 2015-03-04 |
| 1518209493 | Ace Cardiovascular Testing,llc | Physiological Laboratory | 13492 Research Blvd Ste 120-724, Austin, TX 78750-2252 | 2013-03-19 |
| 1417161134 | Austin Neurological Clinic | Physiological Laboratory | 711-f West 38th Street, Austin, TX 78705-1133 | 2007-05-10 |
| 1114948445 | G Medical Diagnostic Services, Inc. | Physiological Laboratory | 12708 Riata Vista Cir Ste A103, Austin, TX 78727-7174 | 2006-07-21 |
| 1306845961 | Mobile X-ray of Austin Inc | Physiological Laboratory | 4131 Spicewood Springs Rd Ste N7, Austin, TX 78759-8664 | 2005-07-17 |
| 1376935031 | Btdi Jv, LLP | Physiological Laboratory | 4316 James Casey St, Suite E-1, Austin, TX 78745-1116 | 2015-03-04 |
| 1720470487 | Btdi Jv, LLP | Physiological Laboratory | 711 W 38th St, Suite B-7, Austin, TX 78705-1121 | 2015-03-04 |
| 1144575119 | Austin City Medical Ctr | Physiological Laboratory | 11149 Research Blvd, Suite 360, Austin, TX 78759-5279 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952574 | Neurodiagnostics and Imaging LLC | Physiological Laboratory | 2024 W 15th St Ste F-352, Plano, TX 75075-7363 | 2020-11-04 |
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
| 1639797863 | Lab Testing Near Me LLC | Physiological Laboratory | 2706 Wind Point Ct, Tolar, TX 76476-5077 | 2020-07-14 |
| 1871121004 | St. Anthony's Diagnostic Pllc | Physiological Laboratory | 3931 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7777 | 2020-04-01 |
| 1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
| 1437799913 | Valmar, Plc | Physiological Laboratory | 7905 Bentley Dr, North Richland Hills, TX 76182-7683 | 2020-01-13 |
| 1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
| 1437797610 | Guard Healthcare Systems LLC | Physiological Laboratory | 2261 Brookhollow Plaza Dr Ste 307, Arlington, TX 76006-7430 | 2019-12-18 |
| 1932745940 | Magdouhealth LLC | Physiological Laboratory | 205 N Green St, Grand Saline, TX 75140-1829 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.