Organization
CCRM AUSTIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT TYSON (DIRECTOR, MANAGED CARE CONTRACTING)
(615) 477-6677
Entity
Organization
Contact information
Practice address
5301 SOUTHWEST PKWY, AUSTIN, TX 78735-8985
(727) 410-3707
Mailing address
5301 SOUTHWEST PKWY STE 350, AUSTIN, TX 78735-8985
(737) 497-9944
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
07/15/2026
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