Organization Active NPI

Abda Labs, LLC

  • Clinical Medical Laboratory
  • Austin, TX
National Provider Identifier
1043050024
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ABDA LABS, LLC
Practice address
8006 Cameron Rd Ste a
Austin, TX 78754-3810
Phone
(512) 222-7177
Fax
(737) 702-5659
NPI assigned
May 28, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Robin David Yazdi
Title
Owner
Phone
(512) 222-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

8006 Cameron Rd Ste a
Austin, TX 78754-3810

Mailing address

12150 Flint PL Ste B
Poway, CA 92064-7106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205000543 TX Part B Supplier - Independent Clinical Laboratory 2961938691 Practice locations: Austin, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2301956Abda Labs LLC8006 Cameron Rd Ste a, Austin, TX 78754ComplianceApr 21, 2027

National Provider Directory

National Provider Directory

Locations

12150 Flint Pl
Poway, CA 92064

8006 Cameron Rd
Ste A
Austin, TX 78754
Phone (512) 222-7177

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1043050024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 FLINT PL STE B",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920647106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 CAMERON RD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543810",
            "telephone_number": "512-222-7177",
            "fax_number": "737-702-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDA LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-222-7177"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.