| Organization Name: | AUSTIN DIAGNOSTIC CLINIC |
| NPI Number: | 1003259763 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT C STERN (LABORATORY DIRECTOR) |
| Mailing Address: | 12221 N Mopac Expy Austin |
| State: | TX US |
| Postal Code: | 787582401 |
| Phone Number: | 5129011111 |
| Fax Number: | 5129013945 |
| NPI Enumeration Date: | 04/12/2013 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RP1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Phlebotomy |
| Taxonomy Definition: | |