MEDICARE: AUSTIN PRECISION DIAGNOSTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1578492559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN PRECISION DIAGNOSTICS LLC

Provider Business Mailing Address
First Line	:	6448 E HIGHWAY 290 STE D111
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1075
Country	:	US
Telephone Number	:	682-439-5392
Fax Number	:

Provider Business Practice Location Address
First Line	:	6448 E HIGHWAY 290 STE D111
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1075
Country	:	US
Telephone Number	:	682-439-5392
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MASTANI SHAIK
Credential	:
Telephone Number	:	682-439-5392

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	05/16/2026

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