# EXEVIA DIAGNOSTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356298822
- **Authorized official:** ANI PETROSYAN (OWNER)
- **Authorized official phone:** (303) 228-6119

## Contact information

- **Practice address:** 771 E SOUTHLAKE BLVD STE 217, SOUTHLAKE, TX 76092-6989
- **Practice address phone:** (303) 228-6119
- **Mailing address:** 771 E SOUTHLAKE BLVD STE 217, SOUTHLAKE, TX 76092-6989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2026
- **Last updated:** 03/13/2026