Cedar Creek Labs Llc

LBN: Cedar Creek Labs Llc
Cedar Creek Labs Llc is an health care organization with primary practice located at 4200 Burch Dr Ste C9 , Del Valle TX 78617-3234. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Cedar Creek Labs Llc can be contacted via phone (511) 714-9996, or through Bruggeman, Ty via phone (281) 714-9996.

Contact Information

Primary practice address
4200 Burch Dr Ste C9 Del Valle TX 78617-3234
Phone: (511) 714-9996
Fax: (888) 793-0432
Website:
Map and Directions
Authorized official contact:
Name: Bruggeman, Ty
Phone: (281) 714-9996

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 45D2010541 Texas

Profile Details

NPI number 1407398241
LBN Legal business name Cedar Creek Labs Llc
DBA Doing business as
Authorized official Bruggeman, Ty
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2016
Last updated Nov 10th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407398241 NPPES
Texas Other 45D2010541 CLIA

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