PSA AMBULATORY SURGICAL CENTER OF AUSTIN LLC
NPI 1417827494
Clinic/Center - Ambulatory Surgical in Cedar Park, TX

Active since November 06, 2025CLIA Certified · 3 labs
2218 SOUTH LAKELINE BLVD, BUILDING 1, SUITE 101, CEDAR PARK, TX 78613(512) 953-8134(737) 689-4102 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2026, Nov 6, 2025 (2 updates tracked since 2025).

About Psa Ambulatory Surgical Center Of Austin Llc NPPES

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

PSA AMBULATORY SURGICAL CENTER OF AUSTIN LLC (NPI 1417827494) is a healthcare organization registered as an ambulatory surgical in Cedar Park, Texas and active in the NPI registry since November 2025. The organization holds 3 active CLIA laboratory certificates and lists Julie Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417827494
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePSA AMBULATORY SURGICAL CENTER OF AUSTIN LLC
Location Address2218 SOUTH LAKELINE BLVD, BUILDING 1, SUITE 101Cedar Park, TX 78613-4755
Mailing Address2218 South Lakeline Blvd, Building 1, Suite 101Cedar Park, TX 78613-4755 · (512) 953-8134 · Fax (737) 689-4102
Fax(737) 689-4102
Organization SubpartNo
Authorized OfficialJulie MeyerCfo · (512) 485-7200
Enumeration DateNovember 6, 2025
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1417827494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2218 SOUTH LAKELINE BLVD, Cedar Park, TX 78613

CLIA Laboratory Certificates CMS CLIA 3

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 45D2335722

Psa Ambulatory Surgical Center Of Austin, LLC · Cedar Park, TX
Active · expires Dec 15, 2027
CLIA Number45D2335722
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorYuen Chit Cheng
Laboratory Phone(512) 836-1200
Laboratory LocationPsa Ambulatory Surgical Center Of Austin, LLC2218 S. Lakeline Blvd, Suite 101, Cedar Park, TX 78613
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0928211

Psa Ambulatory Surgical Center Of Austin, LLC · Austin, TX
Active · expires May 11, 2027
CLIA Number45D0928211
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorYuen Cheng
Laboratory Phone(512) 485-7200
Laboratory LocationPsa Ambulatory Surgical Center Of Austin, LLC4100 Duval Rd Bldg 3 Suite 100, Austin, TX 78759
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2280377

Psa Ambulatory Surgery Center Of South Austin, PLLC · Austin, TX
Active · expires Apr 17, 2027
CLIA Number45D2280377
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorGenaro Gutierrez
Laboratory Phone(512) 953-8134
Laboratory LocationPsa Ambulatory Surgery Center Of South Austin, PLLC701 E Fm 1626 Ste 300, Austin, TX 78748
CLIA data matches this NPI record on: Phone
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.

Clinic/Center (Ambulatory Surgical)
2218 SOUTH LAKELINE BLVD, BLDG 1 SUITE 101
CEDAR PARK, TX 78613

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 Psa Ambulatory Surgical Center Of Austin LLC's NPI number?

The NPI number for Psa Ambulatory Surgical Center Of Austin LLC is 1417827494. It was assigned to this organization in the NPPES registry on November 6, 2025.

Where is Psa Ambulatory Surgical Center Of Austin LLC located?

Psa Ambulatory Surgical Center Of Austin LLC is located at 2218 South Lakeline Blvd Building 1, Suite 101, Cedar Park, TX 78613. The listed phone number is (512) 953-8134.

What is Psa Ambulatory Surgical Center Of Austin LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Psa Ambulatory Surgical Center Of Austin LLC hold CLIA laboratory certificates?

Yes. 3 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 Psa Ambulatory Surgical Center Of Austin LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.