Organization
EXEVIA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI PETROSYAN (OWNER)
(303) 228-6119
Entity
Organization
Contact information
Practice address
771 E SOUTHLAKE BLVD STE 217, SOUTHLAKE, TX 76092-6989
(469) 638-8875
Mailing address
771 E SOUTHLAKE BLVD STE 217, SOUTHLAKE, TX 76092-6989
(303) 228-6119
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
03/13/2026
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