Sonic Reference Laboratory, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2083658 Issued in TX

Legal business name

SONIC REFERENCE LABORATORY, INC

Practice address

3800 Quick Hill Road
BLDG 3, Suite 101
Austin, TX 78728-1342

Phone

(512) 531-2100

Fax

(512) 531-2203

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Anthony Carter, PHD

Title

President

Phone

(512) 873-1670

Specialties & licenses 2

Addresses

Other names 1

• Sonic Reference Laboratory Doing business as

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

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1174925440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 QUICK HILL ROAD",
            "address_2": "BLDG 3, SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281342",
            "telephone_number": "512-531-2100",
            "fax_number": "512-531-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 QUICK HILL ROAD",
            "address_2": "BLDG 3, SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281342",
            "telephone_number": "512-531-2100",
            "fax_number": "512-531-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIC REFERENCE LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-873-1670",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2083658",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonic Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sonic Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Samantha Sonnier, MS CCC SLP

• 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 Apr 2, 2022; 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.