Organization
CONSULTATIVE GENOMICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P. ROSENBLATT MD, PHD (OWNER)
(888) 501-5532
Entity
Organization
Contact information
Practice address
4800 FOURNACE PL STE BE13, BELLAIRE, TX 77401-2324
(888) 501-5532
Mailing address
4800 FOURNACE PL STE BE13, BELLAIRE, TX 77401-2324
(888) 501-5532
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006775681
UHC
TX
05
—
1417391533
—
TX
01
—
321659
MEDICARE
TX
Enumeration date
04/19/2013
Last updated
09/13/2023
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