Provider Demographics
NPI:1679044077
Name:SVA LLC
Entity Type:Organization
Organization Name:SVA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:PRAKASH
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHNARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-817-4221
Mailing Address - Street 1:5228 VILLAGE CREEK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4431
Mailing Address - Country:US
Mailing Address - Phone:214-817-4221
Mailing Address - Fax:214-635-5580
Practice Address - Street 1:3900 S STONEBRIDGE DR STE 801
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-8056
Practice Address - Country:US
Practice Address - Phone:214-762-9084
Practice Address - Fax:214-635-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory