Integrated Health Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTEGRATED HEALTH DIAGNOSTICS, LLC

Practice address

10713 N Ranch Road 620
Bldge E Ste 525
Austin, TX 78726-1756

Phone

(512) 779-1376

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mani Bala, M.D.

Title

Medical Director

Phone

(512) 779-1376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1366833824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10713 N RANCH ROAD 620",
            "address_2": "BLDGE E STE 525",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787261756",
            "telephone_number": "512-779-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10713 N RANCH ROAD 620",
            "address_2": "BLDGE E STE 525",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787261756",
            "telephone_number": "512-779-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "BALA",
        "authorized_official_first_name": "MANI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-779-1376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute of Medical and Health Physicians of Austin PLLC
• Institute of Reconstructive Plastic Surgery of Central Texas
• Integracare Home Health Services Inc.
• Integrated Anesthesiology Services PLLC
• Integrated Chiropractic Wellness, PLLC
• Integrated Mental Health Services
• Integration and Cohesiveness Practice, PLLC.
• Integrative Medical Group of Texas
• Integrative Pain Services PA
• Integrative Psychotherapy for Women, 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 Feb 5, 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.