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Organization

EXOVA DIAGNOSTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLAKE ANDERSON (AUTHORIZED OFFICIAL)
(915) 471-5360
Entity
Organization

Contact information

Practice address
11331 JAMES WATT DR STE 300A, EL PASO, TX 79936-6401
(503) 464-6467
(805) 591-4810
Mailing address
11331 JAMES WATT DR STE 300A, EL PASO, TX 79936-6401
(503) 464-6467
(805) 591-4810

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45D2194972
CLIA
TX
Enumeration date
10/07/2020
Last updated
09/11/2024
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