Organization
HISTOLOGY TECH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J. BROWN (PRESIDENT)
(352) 331-0045
Entity
Organization
Contact information
Practice address
7314 W UNIVERSITY AVE, SUITE C, GAINESVILLE, FL 32607-1640
(352) 331-0045
(352) 331-0028
Mailing address
7314 W UNIVERSITY AVE, SUITE C, GAINESVILLE, FL 32607-1640
(352) 331-0045
(352) 331-0028
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800020165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E9170A
MEDICARE - PART B
FL
01
—
L9288
BC BS OF FLORIDA
FL
Enumeration date
11/21/2005
Last updated
07/05/2016
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