NPIMap

Organization Active NPI

Exevia Diagnostics LLC

  • Urgent Care Clinic/Center
  • Southlake, TX
National Provider Identifier
1457283566
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EXEVIA DIAGNOSTICS LLC
Practice address
771 E Southlake Blvd Ste 217
Southlake, TX 76092-6989
Phone
(469) 638-8875
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ani Petrosyan
Title
Owner
Phone
(213) 474-7306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

771 E Southlake Blvd Ste 217
Southlake, TX 76092-6989

Mailing address

771 E Southlake Blvd Ste 217
Southlake, TX 76092-6989

National Provider Directory

National Provider Directory
Tax ID family
Exevia Diagnostics LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1457283566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 217",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 217",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926989",
            "telephone_number": "469-638-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEVIA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-474-7306"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.