Recon Diagnostics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RECON DIAGNOSTICS, INC.

Practice address

3810 Medical Pkwy Ste 253
Austin, TX 78756-4006

Phone

(240) 240-2125

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Philip Radford

Title

Owner

Phone

(240) 240-2125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Theresa Bulot, PH.D., HCLD(ABB)

  • Clinical Laboratory Director (Non-physician)
  • Austin, TX
  • NPI 1962096289
  NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1073191177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 GATEWAY COMMONS CIR STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875993",
            "telephone_number": "240-240-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 MEDICAL PKWY STE 253",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564006",
            "telephone_number": "240-240-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECON DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-240-2125",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Nima Recio, LMFT ASSOCIATE
• Lindsay Reck, MPA, PA-C
• Samantha L Reckson, FNP
• Reclaim U Counseling, PLLC
• Biannca Recoder
• Elizabeth Record, DPT
• Elizabeth Recoulley, LPC
• Recover & Perform LLC
• Recover Or Sacrifice Everything (Rose) Counseling Center (Rose Counseling Center)
• Recovery in Motion (Rim)

• Clinical Medical Laboratory in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.