Organization · Type 2 NPI

Department of State Health Services

Clinical Medical Laboratory · Austin, TX

NPI number 1114931391 Active

Practice location

1100 W 49th St
Austin, TX 78756-3101

Call (512) 458-7111 Map

Fax (512) 458-7588

Mailing address

PO Box 149347, Dshs- Central LAB/ZZ320/MC 2004
Austin, TX 78714-9347

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (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 det…

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About NPI 1114931391

Department of State Health Services's National Provider Identifier is 1114931391, issued on Jul 27, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Austin, TX. The record was last updated on Mar 12, 2026.