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NPI Code Detail

MEDICARE: ACADEMIC INSTITUTE OF PATHOLOGY INC

MEDICARE: ACADEMIC INSTITUTE OF PATHOLOGY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical LaboratoryE1956TX
2207ZP0105XClinical Pathology/Laboratory Medicine PhysicianE1956TX

General Provider Information

NPI Number : 1861433625
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACADEMIC INSTITUTE OF PATHOLOGY INC
Provider Business Mailing Address
First Line : 6655 HILLCROFT ST
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77081-4815
Country : US
Telephone Number : 713-779-1633
Fax Number : 713-995-5914
Provider Business Practice Location Address
First Line : 6655 HILLCROFT ST
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77081-4815
Country : US
Telephone Number : 713-779-1633
Fax Number : 713-995-5914
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. GONZALO URIBE-BOTERO
Credential : MD
Telephone Number : 713-779-1633
Provider Enumeration Date : 06/10/2006
Last Update Date : 09/11/2025

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Directions to “ACADEMIC INSTITUTE OF PATHOLOGY INC ” Practice Location

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