MEDICARE: NOVA DX SCIENCES 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1700647419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA DX SCIENCES LLC

Provider Business Mailing Address
First Line	:	4321 N MESA ST STE D
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1139
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 N MESA ST STE D
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1139
Country	:	US
Telephone Number	:	915-313-4374
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. BIANKA ANDREA RODRIGUEZ
Credential	:	PHD
Telephone Number	:	915-313-4374

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	02/25/2026

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Directions to “NOVA DX SCIENCES LLC ” Practice Location

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