AZM LABORATORIES LLC — NPI 1396520102 (CLIA-Certified Diagnostic Medical & Pathology Laboratory in PANTEGO, TX)

CMS-1500 Box 24J / 33a • NPI

1396520102

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

291900000X (CMS B4[14])

CLIA-Certified Diagnostic Medical & Pathology Laboratory

Box 32 Service Location & ZIP+4

3610 SMITH BARRY RD, PANTEGO, TX, 76013-4640

✓ 9-Digit EDI 837 ZIP+4 (76013-4640)

Practice Phone & Referral Fax

(512) 760-4547

Fax: (214) 722-2192

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396520102 (AZM LABORATORIES LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396520102` (NPI-2 Organization / Facility)
Provider / Legal Name	AZM LABORATORIES LLC
Plain-English Specialty	CLIA-Certified Diagnostic Medical & Pathology Laboratory NUCC Code: `291900000X` (Military Clinical Medical Laboratory)
Certifying / Licensing Body	CMS CLIA / College of American Pathologists (CAP)
Practice Location Address	3610 SMITH BARRY RD, PANTEGO, TX, 76013-4640
Practice Telephone / Fax	Tel: (512) 760-4547 \| Fax: (214) 722-2192
Administrative Mailing Address	3610 SMITH BARRY RD STE 103, PANTEGO, TX, 76013-4633
Enumeration & Last Sync	Enumerated: 2023-08-29 \| CMS Record Updated: 2023-08-29
Authorized Official	VIOLET LEWIS (Laboratory Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3610 SMITH BARRY RD, PANTEGO, TX, 76013-4640

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Plain-English Taxonomy & CMS Crosswalk (291900000X)

What Does Taxonomy Code 291900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 291900000X translates to:
"CLIA-Certified Diagnostic Medical & Pathology Laboratory"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Histocompatibility Laboratory)
Certifying / Accrediting Authority: CMS CLIA / College of American Pathologists (CAP)
Clinical Scope: Fasting blood tests, bilirubin and liver function tests, kidney function (creatinine/eGFR), urine culture and sensitivity, or PCR molecular diagnostics.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AZM LABORATORIES LLC)

Typical CPT / Diagnostic Procedures:

Complete Blood Count (CBC) with Automated Differential (CPT 85025)
Comprehensive Metabolic Panel (CMP), Fractionated Bilirubin & Hepatic Panel
Quantitative Urine Culture & Colony Count (≥ 10⁵ CFU/mL) with Antibiotic Susceptibility
HbA1c, Lipid Panel, TSH & High-Sensitivity Troponin Assays

Common Therapeutic Classes:

Diagnostic Reagent Panels & CLSI Antimicrobial Susceptibility Disks/MIC Cards

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`291900000X` — Military Clinical Medical Laboratory Plain English: CLIA-Certified Diagnostic Medical & Pathology Laboratory	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AZM LABORATORIES LLC (NPI #1396520102)