Organization
SUMMIT PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPTI BAVISHI M.D. (DIRECTOR)
(713) 777-3639
Entity
Organization
Contact information
Practice address
7777 SOUTHWEST FWY, SUITE 554, HOUSTON, TX 77074-1802
(713) 777-3639
Mailing address
PO BOX 17556, SUGAR LAND, TX 77496-7556
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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