ABILENE DIAGNOSTIC CLINIC, PLLC
NPI 1346242567
Specialist in Abilene, TX
NPI Status: Active since June 01, 2005
Contact Information
1665 ANTILLEY RD
# 200
ABILENE, TX
ZIP 79606
Phone: (325) 793-5375
Fax: (325) 793-5384
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 45D2180205
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-09-2026
About ABILENE DIAGNOSTIC CLINIC, PLLC
This page provides the complete NPI Profile along with additional information for Abilene Diagnostic Clinic, Pllc, a provider established in Abilene, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1346242567 assigned on June 2005. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Abilene Diagnostic Clinic, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Abilene Diagnostic Clinic, Pllc. The authorized official of this NPI record is Andrew Kouba (Ceo/authorized Official)
- NPI
- 1346242567
- Provider Legal Name
- PRIVIA MEDICAL GROUP WEST TEXAS, PLLC
- Other Organization Name
- ABILENE DIAGNOSTIC CLINIC, PLLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1665 ANTILLEY RD # 200 ABILENE, TX 79606
- Location Phone
- (325) 793-5375
- Location Fax
- (325) 793-5384
- Mailing Address
- PO BOX 5409 ABILENE, TX 79608
- Mailing Phone
- (325) 437-8655
- Mailing Fax
- (325) 793-5384
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2005
- Last Update Date
- 09-07-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear VALUE Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Complete VALUE Gold - HMO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1306102-02 | MEDICAID (05) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2180205
- Facility Type
- Physician Office
- Certificate Effective Date
- March 10, 2024
- Certificate Expiration Date
- March 09, 2026
- Laboratory Director
- JASON ACEVEDO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Abilene Diagnostic Clinic, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ABILENE DIAGNOSTIC CLINIC, PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 2 | 4 | 2 | 5 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 4 | 4 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 4 + 4 + 5 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1346242567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740279694 | MICHAEL WAYNE CHAUVEAUX P.T. Individual | Physical Therapist | 1665 ANTILLEY RD SUITE 120 ABILENE, TX 79606 (325) 695-6011 |
| 1790774503 | ROBERT DAVID HARPER M.D. Individual | Family Medicine | 1665 ANTILLEY RD SUITE 200 ABILENE, TX 79606 (325) 793-5115 |
| 1770572513 | WILLIAM RITCHIE KEEBLE III P.T. Individual | Physical Therapist | 1665 ANTILLEY RD SUITE 120 ABILENE, TX 79606 (325) 695-6011 |
| 1437149796 | MARILYN ANN BOND-KINKADE FNP Individual | Nurse Practitioner (Family) | 1665 ANTILLEY RD SUITE 200 ABILENE, TX 79606 (325) 793-5290 |
| 1194743260 | THOMAS WADE COTNEY M.D. Individual | Otolaryngology | 1665 ANTILLEY RD SUITE 180 ABILENE, TX 79606 (325) 695-7740 |
| 1811036940 | CATHY T BLACK PT Individual | Physical Therapist | 1665 ANTILLEY RD SUITE 100 ABILENE, TX 79606 (325) 691-9947 |
| 1225252380 | ANN ELIZABETH MANNERS FNP Individual | Nurse Practitioner (Family) | 1665 ANTILLEY RD SUITE 200 ABILENE, TX 79606 (325) 793-5140 |
| 1265683759 | SUSAN MARY BARNHART P.A Individual | Physician Assistant | 1665 ANTILLEY RD SUITE 120 ABILENE, TX 79606 (325) 793-5148 |
| 1457679250 | ABILENE UROLOGY, PLLC Organization | Urology | 1665 ANTILLEY RD SUITE 240 ABILENE, TX 79606 (325) 793-5102 |
| 1669816591 | MARK B. REEDY, M.D., PLLC Organization | Obstetrics & Gynecology (Gynecologic Oncology) | 1665 ANTILLEY RD SUITE 250 ABILENE, TX 79606 (325) 692-4194 |
| 1710117130 | DR. MARK RANGEL DDS Individual | Dentist (General Practice) | 1665 ANTILLEY RD STE. 300 ABILENE, TX 79606 (325) 692-6300 |
| 1467863837 | IMPERIUM CONSULTING, LLC Organization | Clinical Nurse Specialist (Neuroscience) | 1665 ANTILLEY RD 240 ABILENE, TX 79606 (832) 721-9427 |
| 1801203203 | SYCAMORE HOME HEALTH CARE LLC Organization | Home Health | 1665 ANTILLEY RD SUITE 240 ABILENE, TX 79606 (214) 838-3536 |
| 1821082926 | MRS. BETH ANN SHELTON R.N.,F.N.P.-C Individual | Nurse Practitioner | 1665 ANTILLEY RD ABILENE, TX 79606 (325) 793-5360 |
| 1376588194 | MR. REGAN W POLONE P.A. Individual | Physician Assistant | 1665 ANTILLEY RD SUITE 200 ABILENE, TX 79606 (325) 793-5130 |
| 1760893606 | KAREN SZABO PA Individual | Physician Assistant | 1665 ANTILLEY RD SUITE 180 ABILENE, TX 79606 (325) 695-7740 |
| 1548489677 | LAURA L BENNETT M.D. Individual | Plastic Surgery | 1665 ANTILLEY RD STE 285 ABILENE, TX 79606 (325) 793-5128 |
| 1053300863 | THOMAS LEE HEADSTREAM M.D. Individual | Internal Medicine | 1665 ANTILLEY RD SUITE 200 ABILENE, TX 79606 (325) 793-5130 |
| 1861482127 | JODY R MANUEL P.A. Individual | Physician Assistant | 1665 ANTILLEY RD SUITE 200 ABILENE, TX 79606 (325) 793-5130 |
| 1366873671 | JENNIFER ABNEY FNP Individual | Nurse Practitioner (Family) | 1665 ANTILLEY RD SUITE 150 ABILENE, TX 79606 (325) 437-5912 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346242567, enumerated in the NPI registry as an "organization" on June 01, 2005
The provider is located at 1665 Antilley Rd # 200 Abilene, Tx 79606 and the phone number is (325) 793-5375
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2180205 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 01, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.