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NPI Code Detail

MEDICARE: SYNERGEN LLC

MEDICARE: SYNERGEN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1427914290
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGEN LLC
Provider Business Mailing Address
First Line : 13740 N HIGHWAY 183 STE L2
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1833
Country : US
Telephone Number : 224-224-5512
Fax Number :
Provider Business Practice Location Address
First Line : 13740 N HIGHWAY 183 STE L2
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1833
Country : US
Telephone Number : 224-224-5512
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : JUAN CHAPA
Credential :
Telephone Number : 224-224-5512
Provider Enumeration Date : 12/24/2025
Last Update Date : 12/24/2025

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Directions to “SYNERGEN LLC ” Practice Location

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