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Pathology & Laboratory Medical Group INC

Pathology, Anatomic Pathology & Clinical Pathology in Montebello, CA. Organization (NPI-2).

NPI number1417023409
StatusActive
Last updated in NPPESJun 17, 2015

Details

NPI
1417023409
Entity type
Organization (NPI-2)
Legal business name
Pathology & Laboratory Medical Group INC
Organization subpart
No
Enumeration date
Nov 28, 2006
Last updated
Jun 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––Yes

Practice location

309 W Beverly Blvd
Montebello, CA 90640-4308

Phone 323-725-4211 · Fax 323-889-2406

Mailing address

5856 Corporate Ave
Suite 200
Cypress, CA 90630-4754

Phone 714-236-4000 · Fax 714-236-4006

Authorized official

Robert A Orlando
President
3237254211

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