Exova Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXOVA DIAGNOSTICS LLC

Practice address

11331 James Watt Dr Ste 300a
El Paso, TX 79936-6401

Phone

(503) 464-6467

Fax

(805) 591-4810

NPI assigned

Oct 7, 2020

Organization subpart

No

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

Authorized official

Name

Blake Anderson

Title

Authorized Official

Phone

(915) 471-5360

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1669079208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 JAMES WATT DR STE 300A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366401",
            "telephone_number": "503-464-6467",
            "fax_number": "805-591-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 JAMES WATT DR STE 300A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366401",
            "telephone_number": "503-464-6467",
            "fax_number": "805-591-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOVA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "915-471-5360"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2194972",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda J Everett, DDS
• Eversmile Dentist PLLC
• Evolution From Within, P.C.
• Evolve Therapy Specialists I PLLC
• Evolving Mind Counseling Services
• Expert Psychiatry Inc.
• Eye & Ocular Surface Center of Texas LLC
• Eye C Optical
• Eye World
• Eyeland Vision

• Clinical Medical Laboratory in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.