Provider Demographics
NPI:1811165475
Name:JKJ PATHOLOGY
Entity type:Organization
Organization Name:JKJ PATHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-292-7954
Mailing Address - Street 1:4223 RESEARCH FOREST DR
Mailing Address - Street 2:STE 500
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4557
Mailing Address - Country:US
Mailing Address - Phone:281-292-7954
Mailing Address - Fax:281-292-6288
Practice Address - Street 1:4223 RESEARCH FOREST DR
Practice Address - Street 2:STE 500
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4557
Practice Address - Country:US
Practice Address - Phone:281-292-7954
Practice Address - Fax:281-292-6288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D1079612291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory