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ABILENE DIAGNOSTIC CLINICS
NPI 1013159854
Podiatrist in Abilene, TX

Active since March 25, 2009CLIA Certified · 12 labs
6250 REGIONAL PLZ STE 1016, ABILENE, TX 79606(325) 437-8655(325) 437-8647 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2022, Apr 4, 2022, Nov 11, 2021 and 3 more (6 updates tracked since 2019).

About Abilene Diagnostic Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABILENE DIAGNOSTIC CLINICS (NPI 1013159854) is a healthcare organization registered as a podiatrist in Abilene, Texas and active in the NPI registry since March 2009. The organization holds 12 active CLIA laboratory certificates and lists Andrew Kouba, Ceo/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013159854
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePRIVIA MEDICAL GROUP WEST TEXAS, PLLC
Location Address6250 REGIONAL PLZ STE 1016Abilene, TX 79606-5223
Mailing AddressPo Box 5409Abilene, TX 79608-5409 · (325) 437-8655 · Fax (325) 437-8647
Phone(325) 437-8655
Fax(325) 437-8647
Organization SubpartNo
Authorized OfficialAndrew KoubaCeo/authorized Official · (325) 437-8645
Enumeration DateMarch 25, 2009
Last NPPES UpdateJuly 25, 20226 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1013159854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6250 REGIONAL PLZ STE 1016, Abilene, TX 79606
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Other Names 3

Doing Business AsAbilene Diagnostic Clinics
Former Legal Business NameAbilene Diagnostic Clinic, Pllc
Other NamePodiatry Dme Suite 1016

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 12

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2180205

Privia Medical Group West Texas · Abilene, TX
Active · expires Mar 9, 2028
CLIA Number45D2180205
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorJason Acevedo
Laboratory Phone(325) 793-5165
Laboratory LocationPrivia Medical Group West Texas35 Windmill Cir, Abilene, TX 79606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1073983

Privia Medical Group West Texas · Abilene, TX
Active · expires Sep 19, 2027
CLIA Number45D1073983
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorLaura L. Bennett
Laboratory Phone(325) 793-5128
Laboratory LocationPrivia Medical Group West Texas5 Windmill Cir, Abilene, TX 79606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2136253

Privia Medical Group West Texas · Abilene, TX
Active · expires Sep 5, 2027
CLIA Number45D2136253
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorNoel K. Robinson
Laboratory Phone(325) 794-5422
Laboratory LocationPrivia Medical Group West Texas1665 Antilley Rd Suite 285, Abilene, TX 79606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2285969

Privia Medical Group West Texas, PLLC · Abilene, TX
Active · expires Jul 19, 2027
CLIA Number45D2285969
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorThomas Headstream
Laboratory Phone(325) 793-5162
Laboratory LocationPrivia Medical Group West Texas, PLLC1665 Antilley Road Suite 205, Abilene, TX 79606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2229648

Privia Medical Group West Texas, PLLC · Abilene, TX
Active · expires Jul 13, 2027
CLIA Number45D2229648
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorLynn Robinson
Laboratory Phone(325) 793-5245
Laboratory LocationPrivia Medical Group West Texas, PLLC1665 Antilly Rd Ste 170, Abilene, TX 79606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2321510

Privia Medical Group West Texas, PLLC · Abilene, TX
Active · expires Apr 3, 2027
CLIA Number45D2321510
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorKristen Mitchell
Laboratory Phone(325) 794-5348
Laboratory LocationPrivia Medical Group West Texas, PLLC6771 Memorial Dr, Abilene, TX 79606
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LACEY DAWN CLAWSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
6250 REGIONAL PLZ STE 1016
ABILENE, TX 79606
Taylor County (325) 793-5135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Privia Medical Group West Texas, PLLC's NPI number?

The NPI number for Privia Medical Group West Texas, PLLC is 1013159854. It was assigned to this organization in the NPPES registry on March 25, 2009. The provider is doing business as Abilene Diagnostic Clinics. The provider is also known as Podiatry DME Suite 1016. The provider was formerly known as Abilene Diagnostic Clinic, PLLC.

Where is Privia Medical Group West Texas, PLLC located?

Privia Medical Group West Texas, PLLC is located at 6250 Regional Plz Ste 1016, Abilene, TX 79606. The listed phone number is (325) 437-8655.

What is Privia Medical Group West Texas, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Privia Medical Group West Texas, PLLC hold CLIA laboratory certificates?

Yes. 12 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Privia Medical Group West Texas, PLLC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.