PINEYWOODS DIAGNOSTIC CLINIC OF EAST TEXAS PA
NPI 1265519730
Internal Medicine in Livingston, TX

Active since November 01, 2006
400 W CHURCH ST, LIVINGSTON, TX 77351(936) 327-7733(936) 327-2248 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pineywoods Diagnostic Clinic Of East Texas Pa NPPES

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

PINEYWOODS DIAGNOSTIC CLINIC OF EAST TEXAS PA (NPI 1265519730) is a healthcare organization registered as an internal medicine in Livingston, Texas and active in the NPI registry since November 2006. The organization lists Ravinder R Bachireddy, Authorized/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1265519730
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePINEYWOODS DIAGNOSTIC CLINIC OF EAST TEXAS PA
Location Address400 W CHURCH STLivingston, TX 77351-3416
Mailing AddressPo Box 151226Lufkin, TX 75915-1226 · (936) 632-8787 · Fax (936) 632-8832
Fax(936) 327-2248
Organization SubpartNo
Authorized OfficialRavinder R BachireddyAuthorized/delegated Official · (936) 632-8787
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 31, 2008
NPI 1265519730 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.
400 W CHURCH ST, Livingston, TX 77351

Other Identifiers 3

Other0022MUTX · Bluecross & Blueshield
Medicare PIN00100YTX
Medicaid176384901TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Waiver 45D1002224

Pineywoods Diagnostic Clinic · Livingston, TX
Expired · Jul 31, 2026
CLIA Number45D1002224
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorRavinder Bachhireddy
Laboratory Phone(936) 327-2655
Laboratory LocationPineywoods Diagnostic Clinic400 West Church Street, Livingston, TX 77351
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Pineywoods Diagnostic Clinic Of East Texas PA's NPI number?

The NPI number for Pineywoods Diagnostic Clinic Of East Texas PA is 1265519730. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Pineywoods Diagnostic Clinic Of East Texas PA located?

Pineywoods Diagnostic Clinic Of East Texas PA is located at 400 W Church St, Livingston, TX 77351. The listed phone number is (936) 327-7733.

What is Pineywoods Diagnostic Clinic Of East Texas PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Pineywoods Diagnostic Clinic Of East Texas PA was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.