Organization
MANGINI LAKHIA PATHOLOGY LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY GAUTHIER MD (VICE PRESIDENT)
(713) 271-6881
Entity
Organization
Contact information
Practice address
1140 BUSINESS CENTER DR, STE 370, HOUSTON, TX 77043-2737
(713) 271-6881
(713) 271-6885
Mailing address
PO BOX 733030, DALLAS, TX 75373-3025
(713) 271-6881
(713) 271-6885
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
CL8033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086009001
—
TX
Enumeration date
03/31/2006
Last updated
11/09/2023
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