Organization Active NPI

Clinical Pathology Laboratories, Inc.

  • Clinical Medical Laboratory
  • Austin, TX
National Provider Identifier
1194769497
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D0505003 Issued in TX
Legal business name
CLINICAL PATHOLOGY LABORATORIES, INC.
Practice address
9200 Wall St
Austin, TX 78754-4534
Phone
(512) 339-1275
Fax
(512) 873-5069
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Dr. Mark Silberman, MDNPI 1891751137
Title
President
Phone
(512) 498-2105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D0505003 TX Primary

Addresses

Primary practice location

9200 Wall St
Austin, TX 78754-4534

Mailing address

9200 Wall St
Austin, TX 78754-4534
Phone (512) 339-1275

Other identifiers 9

IdentifierTypeStateIssuer
1124176MedicaidLA
025348601MedicaidTX
100758860AMedicaidOK
690001592OtherRAIL ROAD MEDICARE
031821300MedicaidFL
148650709MedicaidAR
1194769497MedicaidNV
2588490MedicaidOH
81888074MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, NV, OK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20041105000625 LA Part B Supplier - Independent Clinical Laboratory 8325935240 Practice locations: West Monroe, LA
O20051116000208 TX Part B Supplier - Independent Clinical Laboratory 8325935240 Practice locations: Austin, TX; Victoria, TX; Tyler, TX; San Antonio, TX; Plano, TX; Houston, TX; Corpus Christi, TX; Bryan, TX
O20071217000467 NV Part B Supplier - Independent Clinical Laboratory 8325935240 Practice locations: Henderson, NV
O20120620000667 OK Part B Supplier - Independent Clinical Laboratory 8325935240 Practice locations: Tulsa, OK

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
45D0505003Clinical Pathology Labs Inc9200 Wall Street Attn Karen Pruett, Austin, TX 78754AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 179)

12276 San Jose Blvd
Ste 704
Jacksonville, FL 32223

4488 N Shallowford Rd
Ste 220
Atlanta, GA 30338

1402 Walton Way
Augusta, GA 30901
Phone (706) 722-1846

4434 Columbia Rd
Ste 105
Martinez, GA 30907
Phone (706) 955-7687

5615C Jackson St
Alexandria, LA 71303
Phone (318) 443-4332

5615 Jackson St
#C
Alexandria, LA 71303

8130 Summa Ave
Baton Rouge, LA 70809

7423 Picardy Ave
Ste A
Baton Rouge, LA 70808

2250 Hospital Dr
Ste 112
Bossier City, LA 71111

16028 Doctors Blvd
Hammond, LA 70403

920 Belanger St
Houma, LA 70360

900 Belanger St
Houma, LA 70360

4510 Ambassador Caffery Pkwy
Ste 8
Lafayette, LA 70508

4070 Nelson Rd
Ste 100
Lake Charles, LA 70605

430 N Washington St
Ste 1
Marksville, LA 71351

4520 Wichers Dr
Ste 102
Marrero, LA 70072
Phone (985) 875-7898

99 South Dr
Ste A
Natchitoches, LA 71457

415 Bienville St
Ste 4
Natchitoches, LA 71457

5640 Read Blvd
Ste 105
New Orleans, LA 70127

3525 Prytania St
Ste 315
New Orleans, LA 70115

3525 Prytania St
Ste 319
New Orleans, LA 70115

520 Elmwood Park Blvd
Ste 130
New Orleans, LA 70123
Phone (504) 733-0585

2973 Highway 28 E
Pineville, LA 71360

8500 Fern Ave
Ste 100
Shreveport, LA 71105

2535 Bert Kouns Industrial Loop
Ste 219
Shreveport, LA 71118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1194769497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WALL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787544534",
            "telephone_number": "512-339-1275",
            "fax_number": "512-873-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WALL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787544534",
            "telephone_number": "512-339-1275",
            "fax_number": "512-873-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PATHOLOGY LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-06-14",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "SILBERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-498-2105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0505003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124176",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025348601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100758860A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "690001592",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031821300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148650709",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194769497",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2588490",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81888074",
            "state": "NM"
        }
    ],
    "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 Jun 14, 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.