C-S And J Pathology Medical Group, Inc.

LBN: C-S And J Pathology Medical Group, Inc.
C-S And J Pathology Medical Group, Inc. is an health care organization with primary practice located at 2170 South Ave Barton Memorial Hospital-Pathology, South Lake Tahoe CA 96150-7026. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. C-S And J Pathology Medical Group, Inc. can be contacted via phone (530) 542-3000, or through Cooper-Smith, Mindy Ellen via phone (805) 652-1516.

Contact Information

Primary practice address
2170 South Ave Barton Memorial Hospital-Pathology South Lake Tahoe CA 96150-7026
Fax: (530) 543-0124
Website:
Authorized official contact:
Name: Cooper-Smith, Mindy Ellen Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X California

Profile Details

NPI number 1114916855
LBN Legal business name C-S And J Pathology Medical Group, Inc.
DBA Doing business as
Authorized official Cooper-Smith, Mindy Ellen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114916855 NPPES
California MEDICAID GR0016260
California MEDICAID 2088350

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