Organization
BIOCENTRA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVID WANI PH.D. (PRESIDENT & CEO)
(512) 553-9056
Entity
Organization
Contact information
Practice address
3000 JOE DIMAGGIO BLVD STE 77, ROUND ROCK, TX 78665-3997
(512) 553-9056
Mailing address
3000 JOE DIMAGGIO BLVD STE 77, ROUND ROCK, TX 78665-3997
(512) 553-9056
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
08/07/2016
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