IMPACT HEALTH LABS LLC NPI 1407495104

NPI Information

  • NPI: 1407495104
  • Provider Name: IMPACT HEALTH LABS LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • CLIA Number: 45D2176335
  • Address: 7110 N INTERSTATE 35
    GEORGETOWN, TX
    ZIP 78626
  • Phone: (800) 653-0602

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NPI Details

IMPACT HEALTH LABS LLC is a clinical medical laboratory in Georgetown, 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. IMPACT HEALTH LABS LLC NPI is 1407495104. The provider is registered as an organization entity type.

The provider's business location address is:

7110 N INTERSTATE 35
GEORGETOWN, TX
ZIP 78626-763
Phone: (800) 653-0602

The provider's authorized official is Jason Thomas Dent .
The authorized official title is Managing Partner and has the following contact phone number (800) 653-0602.

The CLIA number assigned to this NPI record is 45D2176335 - independent with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled (HCPCS:P9603)
  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Detection test by nucleic acid for multiple organisms, amplified probe(s) technique (HCPCS:87801)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Vitamin d-3 level (HCPCS:82306)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Hemoglobin a1c level (HCPCS:83036)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
  • Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique (HCPCS:87641)
  • Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
  • Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source (HCPCS:G2023)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
  • Natriuretic peptide (heart and blood vessel protein) level (HCPCS:83880)
  • Iron level (HCPCS:83540)
  • Folic acid level, serum (HCPCS:82746)
  • Magnesium level (HCPCS:83735)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Blood test, clotting time (HCPCS:85610)
  • Blood creatinine level (HCPCS:82565)
  • Transferrin (iron binding protein) level (HCPCS:84466)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Valproic acid level, total (HCPCS:80164)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Uric acid level, blood (HCPCS:84550)
  • Levetiracetam level (HCPCS:80177)
  • Liver function blood test panel (HCPCS:80076)
  • Ammonia level (HCPCS:82140)
  • Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
  • Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
  • Iron binding capacity (HCPCS:83550)
  • Prealbumin (protein) level (HCPCS:84134)
  • Digoxin level, total (HCPCS:80162)
  • Kidney function blood test panel (HCPCS:80069)
  • Blood potassium level (HCPCS:84132)
  • Thyroxine (thyroid chemical), total (HCPCS:84436)
  • Homocysteine (amino acid) level (HCPCS:83090)
  • Lithium level (HCPCS:80178)
  • Lactate dehydrogenase (enzyme) measurement (HCPCS:83625)
  • Parathormone (parathyroid hormone) level (HCPCS:83970)
  • Phosphate level (HCPCS:84100)
  • Total protein level, urine (HCPCS:84156)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0480)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Coagulation function measurement, d-dimer; quantitative (HCPCS:85379)
  • Vitamin b-1 (thiamine) level (HCPCS:84425)
  • Red blood count automated, with additional calculations (HCPCS:85046)
  • Stool analysis for blood, by peroxidase activity (HCPCS:82272)
  • Lipase (fat enzyme) level (HCPCS:83690)
  • Hepatitis b core antibody measurement (HCPCS:86704)
  • Thyroid hormone, t3 measurement, total (HCPCS:84480)
  • Detection test by immunoassay technique for hepatitis b surface antigen (HCPCS:87340)
  • Hepatitis c antibody measurement (HCPCS:86803)
  • Hepatitis b surface antibody measurement (HCPCS:86706)
  • Measurement of hepatitis a antibody (HCPCS:86708)
  • Measurement of hepatitis a antibody (igm) (HCPCS:86709)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Creatine kinase (cardiac enzyme) level, mb fraction only (HCPCS:82553)
  • Amylase (enzyme) level (HCPCS:82150)
  • Thyroid hormone evaluation (HCPCS:84479)
  • Stool culture (HCPCS:87045)

The enumeration date for this NPI number is 12/27/2019 and was last updated on 4/3/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14104895MEDICAIDTEXAS

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: 11/21/2025

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