Organization Active NPI

Robin Johnson

Doing business as Stat lab

  • Clinical Medical Laboratory
  • Austin, TX
National Provider Identifier
1497001234
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D2043244 Issued in TX
Legal business name
ROBIN JOHNSON
Doing business as
Stat lab
Practice address
7901 Cameron Rd
BLDG 3 Suite 326
Austin, TX 78754-3831
Phone
(512) 906-5507
Fax
(512) 334-9900
NPI assigned
Jul 30, 2012
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Mrs. Robin Johnson
Title
Laboratory Director
Phone
(512) 906-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D2043244 TX Primary

Addresses

Primary practice location

7901 Cameron Rd
BLDG 3 Suite 326
Austin, TX 78754-3831

Mailing address

1515 Kellett Ave
Schulenburg, TX 78956-2251
Phone (512) 906-5507

Other names 1

  • Stat lab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1497001234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 KELLETT AVE",
            "city": "SCHULENBURG",
            "state": "TX",
            "postal_code": "789562251",
            "telephone_number": "512-906-5507",
            "fax_number": "512-334-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 CAMERON RD",
            "address_2": "BLDG 3 SUITE 326",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543831",
            "telephone_number": "512-906-5507",
            "fax_number": "512-334-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "512-906-5507",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2043244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stat lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 30, 2013; 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.