Provider Demographics
NPI:1821756255
Name:XCEED TESTING, LLC
Entity Type:Organization
Organization Name:XCEED TESTING, LLC
Other - Org Name:EXPRESS TESTING LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-599-6925
Mailing Address - Street 1:8023 S 83RD AVE
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-2490
Mailing Address - Country:US
Mailing Address - Phone:402-983-2926
Mailing Address - Fax:
Practice Address - Street 1:8023 S 83RD AVE
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-2490
Practice Address - Country:US
Practice Address - Phone:402-983-2926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory