Doctors General Laboratory

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

DOCTORS GENERAL LABORATORY

Practice address

12501 Hymeadow Dr
Suite 2B
Austin, TX 78750-2263

Phone

(512) 996-0900

Fax

(512) 692-4596

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David S Weiner

Title

C.E.O.

Phone

(512) 996-0900

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1891796256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR",
            "address_2": "SUITE 2B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502263",
            "telephone_number": "512-996-0900",
            "fax_number": "512-692-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR",
            "address_2": "SUITE 2B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502263",
            "telephone_number": "512-996-0900",
            "fax_number": "512-692-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS GENERAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "512-996-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.