Coastal Pathology Medical Associates, INC
Pathology, Anatomic Pathology & Clinical Pathology in Eureka, CA. Organization (NPI-2).
NPI number1528065679
StatusActive
Last updated in NPPESFeb 17, 2016
Details
- NPI
- 1528065679
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Pathology Medical Associates, INC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2005
- Last updated
- Feb 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
2425 Harrison AveEureka, CA 95501-3218
Phone 707-441-4420 · Fax 707-269-3889
Mailing address
2425 Harrison AveEureka, CA 95501-3218
Phone 707-445-8121 · Fax 707-269-3782
Authorized official
Stanley T Hino
President
7074414420
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