NPI age
19 years
Enumerated 2006-07-27
● Active Type 2 · Organization
Department Of State Health Services
Department Of State Health Services is 1 of 2082 clinical medical laboratory organizations in Texas.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kubin
Laboratory Director
Last NPPES update
2026-03-12
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1100 W 49th St
Austin, TX 787563101
Mailing address
Po Box 149347, Dshs- Central Lab/zz320/mc 2004
Austin, TX 787149347
Authorized official
Grace Kubin
Laboratory Director
📞 5127762468
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Lisa Cornelius, M.D. Internal Medicine NPI 1538129481
- Alexis Farmer, MD Preventive Medicine NPI 1356084636
- Maria Garcia Pharmacy Technician NPI 1881281152
- Manda Hall, M.D. Allergy & Immunology NPI 1417976788
- Catherine Hough, LCSW Case Manager/Care Coordinator NPI 1760564314
- Vy Nguyen, D.D.S Dentist NPI 1053549097
- Becky Nichols, RN Registered Nurse NPI 1710253125
- Susan Penfield, M.D. Pediatrics NPI 1487771457
- Lillian Ringsdorf, MD, MPH Preventive Medicine NPI 1720351505
- Adolfo Valadez, M.D. Internal Medicine NPI 1043455322
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0254062-01 | |
| 01 (TX) | CL1119 | MEDICARE PTAN (PROVIDER TRANSACTION ACCESS NUMBER) |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Department of State Health Services (DSHS) Central Lab
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.