MEDICARE: AAL REFERENCE LABORATORIES, INC

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		TX

General Provider Information

NPI Number	:	1043258536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAL REFERENCE LABORATORIES, INC

Provider Business Mailing Address
First Line	:	1826 KRAMER LN
Second Line	:	SUITE F
City	:	AUSTIN
State	:	TX
Zip	:	78758-4277
Country	:	US
Telephone Number	:	512-873-3311
Fax Number	:	512-873-3323

Provider Business Practice Location Address
First Line	:	1826 KRAMER LN
Second Line	:	SUITE F
City	:	AUSTIN
State	:	TX
Zip	:	78758-4277
Country	:	US
Telephone Number	:	512-873-3311
Fax Number	:	512-873-3323

Authorized Official
Title or Position	:	ADMINISTRATIVE MANAGER
Name	:	AMANDA HAMMETT
Credential	:
Telephone Number	:	512-873-3311

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/22/2020

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