Organization Active NPI

Tevido Biodevices, Inc

  • Clinical Medical Laboratory
  • Austin, TX
National Provider Identifier
1356931141
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TEVIDO BIODEVICES, INC
Practice address
10931 Jollyville Rd Ste 100
Austin, TX 78759-5673
Phone
(512) 640-3295
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Ms. Laura Bosworth
Title
Ceo
Phone
(512) 640-3295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10931 Jollyville Rd Ste 100
Austin, TX 78759-5673

Mailing address

10931 Jollyville Rd Ste 100
Austin, TX 78759-5673
Phone (512) 640-3295

National Provider Directory

National Provider Directory

Locations

10931 Jollyville Rd
Ste 100
Austin, TX 78759
Phone (512) 640-3295

Practitioners & affiliated clinicians

Practitioners 1

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": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1356931141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 JOLLYVILLE RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595673",
            "telephone_number": "512-640-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 JOLLYVILLE RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595673",
            "telephone_number": "512-640-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEVIDO BIODEVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "BOSWORTH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-640-3295",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Jan 25, 2021; 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.