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Organization

LUMINOUS PATHOLOGY ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN PAUL ROSENBLATT MD, PHD (PHYSICIAN MEMBER)
(713) 542-8592
Entity
Organization

Contact information

Practice address
5909 WEST LOOP S STE 310, BELLAIRE, TX 77401-2402
(713) 542-8592
Mailing address
5830 E 2ND ST STE 7000, CASPER, WY 82609-4308
(713) 542-8592

Taxonomy

Speciality
Code
Description
License number
State
207ZC0008X
Clinical Informatics (Pathology) Physician
207ZI0100X
Immunopathology Physician
207ZM0300X
Medical Microbiology Physician
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
207ZP0104X
Chemical Pathology Physician
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician

Other

Enumeration date
02/19/2020
Last updated
02/20/2020
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