Provider Demographics
NPI:1043050024
Name:ABDA LABS, LLC
Entity type:Organization
Organization Name:ABDA LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:YAZDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-222-7177
Mailing Address - Street 1:12150 FLINT PL STE B
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-7106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8006 CAMERON RD STE A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3810
Practice Address - Country:US
Practice Address - Phone:512-222-7177
Practice Address - Fax:737-702-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory