Active NPI
Abda Labs, LLC
- Clinical Medical Laboratory
- Austin, TX
National Provider Identifier
1043050024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241205000543 | TX | Part B Supplier - Independent Clinical Laboratory | 2961938691 | Practice locations: Austin, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2301956 | Abda Labs LLC | Compliance | Apr 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.