Organization
TBHC MEDICAL TESTING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP Q XIAO MD (SHAREHOLDER)
(718) 250-8205
Entity
Organization
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8205
(718) 250-8155
Mailing address
PO BOX 13573, PHILADELPHIA, PA 19101-3573
(718) 250-6813
(718) 250-6850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
02/04/2016
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