Abilene Diagnostic Clinic, PLLC – Specialist, NPI 1346242567

Abilene Diagnostic Clinic, PLLC is a healthcare provider. based in Abilene, Texas. specializing in Specialist. The NPI Number for Abilene Diagnostic Clinic, PLLC is 1346242567

Main info

Organization
Name
Abilene Diagnostic Clinic, PLLC
NPI
1346242567
Phone
(325) 793-5375
Address
1665 ANTILLEY RD
Authorized Official
ANDREW KOUBA CEO/AUTHORIZED OFFICIAL
Enumeration Date
1 June 2005
Last Update Date
7 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:21State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Abilene Diagnostic Clinic, PLLC

  • Antilley Road, Abilene, Taylor County, Texas, 79606, United States

    # 200

    ABILENE, TX 796065265

    Phone: (325) 793-5375

    Fax: (325) 793-5384

    Type: Location

  • PO BOX 5409

    ABILENE, TX 796085409

    Phone: (325) 437-8655

    Fax: (325) 437-8647

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040604000460OClinic/Group PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79606)

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Reviews

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Frequently asked questions

Does Abilene Diagnostic Clinic, PLLC have a public NPI I can cite?
Public records show Abilene Diagnostic Clinic, PLLC under NPI 1346242567.
Does the public listing show Abilene Diagnostic Clinic, PLLC as active?
Abilene Diagnostic Clinic, PLLC's NPI record reflects an active status in NPPES.
What type of care does Abilene Diagnostic Clinic, PLLC provide?
Abilene Diagnostic Clinic, PLLC's profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
Can patients visit Abilene Diagnostic Clinic, PLLC in Abilene, Texas?
For routing, start with Abilene, Texas for Abilene Diagnostic Clinic, PLLC, then verify phone and hours locally.
Who maintains Abilene Diagnostic Clinic, PLLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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