NPIMap

Organization Active NPI

Louisville Lithotripsy LLC

  • Lithotripsy Clinic/Center
  • Austin, TX
National Provider Identifier
1760768394
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lithotripsy Clinic/CenterTaxonomy code 261QL0400X
Legal business name
LOUISVILLE LITHOTRIPSY LLC
Practice address
9825 Spectrum Dr
BLDG 3
Austin, TX 78717-4913
Phone
(512) 328-2892
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Mr. Clint Davis
Title
Legal Counsel
Phone
(512) 721-4748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lithotripsy Clinic/Center 261QL0400X Primary

Addresses

Primary practice location

9825 Spectrum Dr
BLDG 3
Austin, TX 78717-4913

Mailing address

9825 Spectrum Dr
BLDG 3
Austin, TX 78717-4913
Phone (512) 328-2892

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1760768394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 SPECTRUM DR",
            "address_2": "BLDG 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174913",
            "telephone_number": "512-328-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SPECTRUM DR",
            "address_2": "BLDG 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174913",
            "telephone_number": "512-328-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE LITHOTRIPSY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "LEGAL COUNSEL",
        "authorized_official_telephone_number": "512-721-4748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "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 Oct 27, 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.