Cedar Park Covid Test

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CEDAR PARK COVID TEST

Practice address

1120 Cottonwood Creek TRL Ste 180B
Cedar Park, TX 78613-6652

Phone

(512) 737-2662

NPI assigned

Dec 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wes Markum

Title

Ceo

Phone

(512) 608-3118

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1013504091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 AMBUSH CYN",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786418893",
            "telephone_number": "512-608-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 COTTONWOOD CREEK TRL STE 180B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136652",
            "telephone_number": "512-737-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PARK COVID TEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "MARKUM",
        "authorized_official_first_name": "WES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-608-3118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.