Prismhealthdx, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2008896 Issued in TX

Legal business name

PRISMHEALTHDX, INC.

Practice address

4115 Freidrich LN Ste 300
Austin, TX 78744-1043

Phone

(800) 532-7092

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Donald Pogorzelski

Title

Ceo

Phone

(800) 532-7092

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1366808388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 FREIDRICH LN STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441043",
            "telephone_number": "800-532-7092",
            "fax_number": "512-623-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 FREIDRICH LN STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441043",
            "telephone_number": "800-532-7092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3721 Executive Center Dr",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787311645",
            "country_code": "US",
            "telephone_number": "800-532-7092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRISMHEALTHDX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "POGORZELSKI",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-532-7092"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2008896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 17, 2018; 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.