1861433625 NPI number — ACADEMIC INSTITUTE OF PATHOLOGY INC

Table of content: (NPI 1861433625)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861433625 NPI number — ACADEMIC INSTITUTE OF PATHOLOGY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACADEMIC INSTITUTE OF PATHOLOGY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861433625
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6655 HILLCROFT ST
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77081-4815
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-779-1633
Provider Business Mailing Address Fax Number:
713-995-5914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6655 HILLCROFT ST
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77081-4815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-779-1633
Provider Business Practice Location Address Fax Number:
713-995-5914
Provider Enumeration Date:
06/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
URIBE-BOTERO
Authorized Official First Name:
GONZALO
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
713-779-1633

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  E1956 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207ZP0105X , with the licence number: E1956 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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