Organization
NOVA LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE ANDERSON (CHIEF EXECUTIVE OFFICER)
(805) 600-1704
Entity
Organization
Contact information
Practice address
1050 LAS TABLAS RD, STE 14, TEMPLETON, CA 93465-9729
(877) 230-1518
Mailing address
6006 N MESA ST STE 511, EL PASO, TX 79912-4630
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
03/22/2021
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