Organization
CLINICAL PATHOLOGY LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SILBERMAN MD (PRESIDENT)
(512) 498-2105
Entity
Organization
Contact information
Practice address
9200 WALL ST, AUSTIN, TX 78754-4534
(512) 339-1275
(512) 873-5069
Mailing address
9200 WALL ST, AUSTIN, TX 78754-4534
(512) 339-1275
(512) 873-5069
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D0505003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025348601
—
TX
05
—
031821300
—
FL
05
—
100758860A
—
OK
05
—
1124176
—
LA
05
—
1194769497
—
NV
05
—
148650709
—
AR
05
—
2588490
—
OH
01
—
690001592
RAIL ROAD MEDICARE
—
05
—
81888074
—
NM
Enumeration date
06/16/2006
Last updated
06/14/2024
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