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BSA AMARILLO DIAGNOSTIC CLINIC INC
NPI 1134559826
Internal Medicine in Amarillo, TX

Active since November 18, 2013CLIA 45D0507011 · Certificate of Compliance
6700 W 9TH AVE, AMARILLO, TX 79106(806) 358-0200(806) 356-5590 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bsa Amarillo Diagnostic Clinic Inc NPPES

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

BSA AMARILLO DIAGNOSTIC CLINIC INC (NPI 1134559826) is a healthcare organization registered as an internal medicine in Amarillo, Texas and active in the NPI registry since November 2013. The organization holds a CLIA Certificate of Compliance certificate valid through October 12, 2027 and lists Stephen C Petrovich, Svp, as its authorized official.

NPPES Registry Identity

NPI1134559826
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBSA AMARILLO DIAGNOSTIC CLINIC INC
Location Address6700 W 9TH AVEAmarillo, TX 79106-1701
Mailing Address1 Burton Hills Blvd, Suite 250Nashville, TN 37215-6293 · (615) 295-3000 · Fax (615) 296-6011
Phone(806) 358-0200
Fax(806) 356-5590
Organization SubpartNo
Authorized OfficialStephen C PetrovichSvp · (615) 296-3000
Enumeration DateNovember 18, 2013
Last NPPES UpdateOctober 19, 2015
✔ NPI 1134559826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6700 W 9TH AVE, Amarillo, TX 79106
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Other Identifiers 2

Medicare UPIN347906TX
Medicaid339696201TX

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

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 Compliance 45D0507011

Bsa Amarillo Diagnostic Clinic,inc · Amarillo, TX
Active · expires Oct 12, 2027
CLIA Number45D0507011
Laboratory TypePractitioner Other
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorKimberly D. Leggett
Laboratory Phone(806) 358-0280
Laboratory LocationBsa Amarillo Diagnostic Clinic,inc6700 W 9th, Amarillo, TX 79106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

CHRISTINE RENI BREWER RN
Registered Nurse
6700 W 9TH AVE
AMARILLO, TX 79106
Potter County (806) 358-0251
ALI ABDULSATTAR HUSSEIN M.D.
Internal Medicine (Rheumatology)
6700 W 9TH AVE
AMARILLO, TX 79106
Potter County (806) 358-0200
HENRY DAVID BRUTON MD
Internal Medicine (Pulmonary Disease)
6700 W 9TH AVE
AMARILLO, TX 79106
Potter County (806) 358-0200
THIEN TOAN VO M.D.
Internal Medicine (Pulmonary Disease)
6700 W 9TH AVE
AMARILLO, TX 79106
Potter County (806) 358-0200
LAURA A WAGNER RN
Registered Nurse
6700 W 9TH AVE
AMARILLO, TX 79106
Potter County (806) 358-0251
MELYNDA ANNE STURDEVANT RN
Registered Nurse
6700 W 9TH AVE
AMARILLO, TX 79106
Potter County (806) 358-0251
KYLA MARIE BEEDY FNP-C
Nurse Practitioner (Family)
6700 W 9TH AVE
AMARILLO, TX 79106
Potter County (806) 358-0200
DONNA LYNN SHORTER LVN
Licensed Vocational Nurse
6700 W 9TH AVE
AMARILLO, TX 79106
Potter County (806) 358-0251

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 Bsa Amarillo Diagnostic Clinic Inc's NPI number?

The NPI number for Bsa Amarillo Diagnostic Clinic Inc is 1134559826. It was assigned to this organization in the NPPES registry on November 18, 2013.

Where is Bsa Amarillo Diagnostic Clinic Inc located?

Bsa Amarillo Diagnostic Clinic Inc is located at 6700 W 9th Ave, Amarillo, TX 79106. The listed phone number is (806) 358-0200.

What is Bsa Amarillo Diagnostic Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bsa Amarillo Diagnostic Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0507011) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bsa Amarillo Diagnostic Clinic Inc was last updated on October 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.