NPI age
9 years
Enumerated 2016-11-10
● Active Type 2 · Organization
Cedar Creek Labs Llc
Cedar Creek Labs Llc 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
Bruggeman
Owner
Last NPPES update
2016-11-10
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
9 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-11Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
4200 Burch Dr Ste C9
Del Valle, TX 786173234
Mailing address
4200 Burch Dr Ste C9
Del Valle, TX 786173234
Authorized official
Ty Bruggeman
Owner
📞 2817149996
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 |
|---|---|---|
| 01 (TX) | 45D2010541 | CLIA |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.