MEDICARE: BIOGEN LAB TX 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
1	246QL0900X	Laboratory Management Specialist/Technologist
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1528921525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIOGEN LAB TX LLC

Provider Business Mailing Address
First Line	:	508 HIDDEN CREEK WAY
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-2525
Country	:	US
Telephone Number	:	224-440-8966
Fax Number	:

Provider Business Practice Location Address
First Line	:	2631 GATTIS SCHOOL RD STE 450
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-2827
Country	:	US
Telephone Number	:	224-440-8966
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASIM SAIF
Credential	:
Telephone Number	:	224-440-8966

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	05/28/2026

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Directions to “BIOGEN LAB TX LLC ” Practice Location

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