Provider Demographics
NPI:1205355849
Name:APOLLO HEALTH MANAGEMENT
Entity Type:Organization
Organization Name:APOLLO HEALTH MANAGEMENT
Other - Org Name:APOLLO HEALTH MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-658-9505
Mailing Address - Street 1:15141 DASMARINAS DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6115
Mailing Address - Country:US
Mailing Address - Phone:361-658-9505
Mailing Address - Fax:
Practice Address - Street 1:15141 DASMARINAS DRIVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418
Practice Address - Country:US
Practice Address - Phone:361-658-9505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATTIMAX LABORATORY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory