EXEVIA DIAGNOSTICS LLC – NPI #1093662561
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

EXEVIA DIAGNOSTICS LLC is a radiologist located in SOUTHLAKE, TX. NPPES recently assigned the NPI number 1093662561 to EXEVIA DIAGNOSTICS LLC on March 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXEVIA DIAGNOSTICS LLC below.

NPI Profile for
EXEVIA DIAGNOSTICS LLC

NPI Number
1093662561
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXEVIA DIAGNOSTICS LLC
Primary location
771 E SOUTHLAKE BLVD STE 217
SOUTHLAKE, TX 76092-6989
Phone: (303) 228-6119 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANI PETROSYAN
OWNER
Phone: (303) 228-6119
Updated
Certification Date
Mar 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
2085U0001X
- Radiology / Diagnostic Ultrasound

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.