Texas State Clinical Laboratories, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TEXAS STATE CLINICAL LABORATORIES, INC

Practice address

11149 Research Blvd Ste 360
Austin, TX 78759-5279

Phone

(512) 346-5600

Fax

(512) 241-1554

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Timothy B Roberson, PA.

Title

Director

Phone

(903) 372-1010

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andres Ossorio

  • Radiography Radiologic Technologist
  • Austin, TX
  • NPI 1558613745
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1760760805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11149 RESEARCH BLVD STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595279",
            "telephone_number": "512-346-5600",
            "fax_number": "512-241-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11149 RESEARCH BLVD STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595279",
            "telephone_number": "512-346-5600",
            "fax_number": "512-241-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS STATE CLINICAL LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-372-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "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 Jul 22, 2011; 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.