Organization Active NPI

Olympus Clinical Laboratories, Inc

  • Clinical Medical Laboratory
  • Austin, TX
National Provider Identifier
1174172845
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OLYMPUS CLINICAL LABORATORIES, INC
Practice address
11211 Taylor Draper LN Ste 105
Austin, TX 78759-3971
Phone
(512) 595-9139
NPI assigned
Sep 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Alexis Tijerina
Title
Manager
Phone
(512) 595-9139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11211 Taylor Draper LN Ste 105
Austin, TX 78759-3971

Mailing address

11211 Taylor Draper LN Ste 105
Austin, TX 78759-3971
Phone (512) 595-9139

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
45D2174095MMZ Clinical Laboratories11211 Taylor Draper LN, Ste 105, Austin, TX 78759AccreditationApr 19, 2028

National Provider Directory

National Provider Directory

Locations

11211 Taylor Draper Ln
Ste 105
Austin, TX 78759
Phone (512) 494-4942

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1174172845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593971",
            "telephone_number": "512-595-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593971",
            "telephone_number": "512-595-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS CLINICAL LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "TIJERINA",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-595-9139"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "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 Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.