St. Michael's Labs, Austin, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

801160205 Issued in TX

Legal business name

ST. MICHAEL'S LABS, AUSTIN, INC.

Practice address

3107 Oak Creek Drive
Suite 100
Austin, TX 78727

Phone

(713) 586-6705

Fax

(713) 586-6752

NPI assigned

Jan 20, 2010

Last updated

Jan 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda Kellner, DMC

Title

Director of Medical Credentialing

Phone

(713) 586-6705

Specialties & licenses 1

Addresses

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.

• Christian A Petrulio, MD

  • Orthopaedic Hand Surgery Physician
  • North Dartmouth, MA
  • NPI 1427222595
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1306177050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924587",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772924587",
            "telephone_number": "713-586-6705",
            "fax_number": "713-586-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 OAK CREEK DRIVE",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78727",
            "telephone_number": "713-586-6705",
            "fax_number": "713-586-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAEL'S LABS, AUSTIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL CREDENTIALING",
        "authorized_official_telephone_number": "713-586-6705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "801160205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Davids Healthcare Partnership LP LLP (St. Davids Rehabilitation Center)
• St. Davids Healthcare Partnership, L.P., LLP
• St. Davids Healthcare Partnership, L.P., LLP (Heart Hospital of Austin)
• St. Edwards University
• Brian St. Louis, D.D.S., M.S.
• Lauren St. Pierre, L.AC.
• St. Teresa of Calcutta Home Health, LLC
• Jessica Marie St.Louis, D.P.M.
• Marsha Ann Staats, M.D.
• Stacey Rosas LCSW PLLC

• 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 Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.