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TEXAS DEPARTMENT OF STATE HEALTH NPI 1114931391


NPI Information

NPI: 1114931391
Provider Name: TEXAS DEPARTMENT OF STATE HEALTH

Doing Business As: DEPARTMENT OF STATE HEALTH SERVICES (DSHS) CENTRAL LAB

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1100 W 49TH ST
AUSTIN, TX
ZIP 78756
Phone: (512) 458-7111
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TEXAS DEPARTMENT OF STATE HEALTH is a clinical medical laboratory in Austin, TX. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. TEXAS DEPARTMENT OF STATE HEALTH NPI is 1114931391. The provider is registered as an organization entity type.
The provider Is Doing Business As Department Of State Health Services (dshs) Central Lab.

The provider's business location address is:

1100 W 49TH ST
AUSTIN, TX
ZIP 78756-101
Phone: (512) 458-7111
Fax: (512) 458-7588

The provider's authorized official is Barbara Suzanne Kelly-king .
The authorized official title is Billing Branch Manager and has the following contact phone number (512) 776-2589.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 4/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10254062-01MEDICAIDTEXAS
2CL1119OTHERTEXASMEDICARE PTAN (PROVIDER TRANSACTION ACCESS NUMBER)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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