Luminous Pathology Associates LLC
Pathology, Molecular Genetic Pathology in Bellaire, TX. Organization (NPI-2).
NPI number1114550175
StatusActive
Last updated in NPPESFeb 20, 2020
Details
- NPI
- 1114550175
- Entity type
- Organization (NPI-2)
- Legal business name
- Luminous Pathology Associates LLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2020
- Certification date
- Feb 20, 2020
- Last updated
- Feb 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0007X | Pathology, Molecular Genetic Pathology | – | – | Yes |
| 207ZP0104X | Pathology, Chemical Pathology | – | – | |
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | – | – | |
| 207ZI0100X | Pathology, Immunopathology | – | – | |
| 207ZM0300X | Pathology, Medical Microbiology | – | – | |
| 207ZC0008X | Pathology, Clinical Informatics Specialist | – | – |
Practice location
5909 West Loop S Ste 310Bellaire, TX 77401-2402
Phone 713-542-8592
Mailing address
5830 E 2nd St Ste 7000Casper, WY 82609-4308
Phone 713-542-8592
Authorized official
Kevin Paul Rosenblatt
Physician Member
7135428592
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