Provider Demographics
NPI:1114246030
Name:NEW AUSTIN HEALTH, LLC
Entity Type:Organization
Organization Name:NEW AUSTIN HEALTH, LLC
Other - Org Name:AUSTIN LABORATORY NEW HEALTH, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-550-4913
Mailing Address - Street 1:720 COOL SPRINGS BLVD.
Mailing Address - Street 2:SUITE 520
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-550-4913
Mailing Address - Fax:615-550-4913
Practice Address - Street 1:3003 BEE CAVE RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5542
Practice Address - Country:US
Practice Address - Phone:281-516-4650
Practice Address - Fax:281-516-4653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D2011949OtherCLIA