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Aegis Health Services LLC

Pathology, Clinical Pathology/Laboratory Medicine in Bellaire, TX. Organization (NPI-2).

NPI number1073188801
StatusActive
Last updated in NPPESMay 24, 2021

Details

NPI
1073188801
Entity type
Organization (NPI-2)
Legal business name
Aegis Health Services LLC
Organization subpart
No
Enumeration date
May 24, 2021
Certification date
May 24, 2021
Last updated
May 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine––Yes
207ZP0007X Pathology, Molecular Genetic Pathology––
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––

Practice location

4800 Fournace Pl Ste Be13
Bellaire, TX 77401-2324

Phone 410-834-8110

Mailing address

2060 Enterprise Rd
Madison, GA 30650-5621

Phone 410-834-8110 · Fax 512-488-9370

Authorized official

Noah David Hanson
Ceo
4048058093

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