Liberty Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIBERTY LABS LLC

Practice address

4316 James Casey St
Building F
Austin, TX 78745-1116

Phone

(512) 798-0030

Fax

(512) 640-8740

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Doug Benson

Title

Controller

Phone

(214) 377-9845

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1346624202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702197",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753702197",
            "telephone_number": "214-377-9845",
            "fax_number": "214-758-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BUILDING F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-798-0030",
            "fax_number": "512-640-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "214-377-9845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ting-Wei Liao, RBT
• Mahnoor Liaqat
• Kimberly Michelle Libby, LPC
• Liberated Counseling PLLC
• Emily Liberman
• Theresa Annette Libios, LPC
• Libra Healthcare, LLC
• Libre Rehab Staffing, LLC
• Kelsey Amber Liburd, DNP, CPNP-AC
• Visar Lica

• 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 Jul 10, 2015; 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.