45D0489289 CLIA NUMBER - JOHN E BERTINI JR MD PA

Laboratory Demographics

CLIA Number: 45D0489289

Facility Name: JOHN E BERTINI JR MD PA

Facility Address:
1315 ST JOSEPH'S PARKWAY SUITE 1502
HOUSTON, TX
ZIP 77002
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Facility Phone Number: 713 650-1508

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1770583015

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	45D0489289
LAB Type	Physician Office
Facility Name	JOHN E BERTINI JR MD PA
Street	1315 ST JOSEPH'S PARKWAY SUITE 1502
City	HOUSTON
State	TX
ZIP	77002
Phone	713 650-1508
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024