Biocentra Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIOCENTRA DIAGNOSTICS LLC

Practice address

3000 Joe Dimaggio Blvd Ste 77
Round Rock, TX 78665-3997

Phone

(512) 553-9056

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Javid Wani, PH.D.

Title

President & Ceo

Phone

(512) 553-9056

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470528000000",
    "number": "1962855734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD STE 77",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653997",
            "telephone_number": "512-553-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD STE 77",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653997",
            "telephone_number": "512-553-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOCENTRA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-08-07",
        "status": "A",
        "authorized_official_last_name": "WANI",
        "authorized_official_first_name": "JAVID",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "512-553-9056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Bigham
• Mark J. Billante, M.D.
• Yagya Bimali, APRN AGCNS-BC
• Lisa Bingham, DC
• Craig Mathew Binner, DC
• Biogen Lab TX LLC
• Tyler Birk, DDS
• Carl Julius Bischoff, MD
• Cheryl Biscocho, PT
• Elizabeth D Bishop, PA-C

• Clinical Medical Laboratory in Round Rock, TX
• Providers in Round Rock, 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 Aug 7, 2016; 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.