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NPI Code Detail

MEDICARE: EBIEN, INC

MEDICARE: EBIEN, INC
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 : 1508794660
Entity Type Code : Organization
Provider Name (Legal Business Name) : EBIEN, INC
Provider Business Mailing Address
First Line : PO BOX 160547
Second Line :
City : AUSTIN
State : TX
Zip : 78716-0547
Country : US
Telephone Number : 512-886-2011
Fax Number :
Provider Business Practice Location Address
First Line : 807 LAS CIMAS PKWY STE 145
Second Line :
City : AUSTIN
State : TX
Zip : 78746-6195
Country : US
Telephone Number : 512-886-2011
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : VIRGINIA MAZARIEGO
Credential :
Telephone Number : 512-571-8185
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “EBIEN, INC ” Practice Location

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