OrganizationActive
Cedar Creek Labs LLC
NPI 1407398241 · Clinical Medical Laboratory · Del Valle, TX
Cedar Creek Labs LLC is a Clinical Medical Laboratory organization in Del Valle, TX (NPI 1407398241).
Provider details
- NPI number
- 1407398241
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Ty Bruggeman, Owner(281) 714-9996
- License
- 45D2010541 (TX)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4200 Burch Dr Ste C9
Del Valle, TX 78617-3234
Phone: (511) 714-9996
Fax: (888) 793-0432
Street-level locationGet directions
Mailing address
4200 Burch Dr Ste C9
Del Valle, TX 78617-3234
Registry dates
- Enumerated
- 2016-11-10
- Last updated
- 2016-11-10
Frequently asked questions
- What is Cedar Creek Labs LLC's NPI number?
- Cedar Creek Labs LLC's National Provider Identifier (NPI) is 1407398241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Creek Labs LLC?
- Cedar Creek Labs LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Cedar Creek Labs LLC located?
- Cedar Creek Labs LLC's practice location on file with NPPES is 4200 Burch Dr Ste C9, Del Valle, TX 78617-3234.
- What is Cedar Creek Labs LLC's phone number?
- The practice phone number listed in the NPPES registry for Cedar Creek Labs LLC is (511) 714-9996.
- Who is the authorized official for Cedar Creek Labs LLC?
- The authorized official listed on Cedar Creek Labs LLC's NPPES record is Ty Bruggeman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Creek Labs LLC's NPI active?
- Yes — Cedar Creek Labs LLC's NPI (1407398241) is active in the NPPES registry as of the last update on 2016-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.