Organization
ACADEMIC INSTITUTE OF PATHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GONZALO URIBE-BOTERO (DIRECTOR)
(713) 663-6326
Entity
Organization
Contact information
Practice address
6655 HILLCROFT ST STE 100, HOUSTON, TX 77081-4815
(713) 663-6326
(713) 995-5914
Mailing address
5420 BELLAIRE BLVD STE B, BELLAIRE, TX 77401-3957
(713) 663-6326
(713) 995-5914
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA45D0722508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D0722508
CLIA
TX
05
—
LOCL81834
—
TX
Enumeration date
05/07/2008
Last updated
05/07/2008
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