Interscope Pathology Medical Group

LBN: Interscope Pathology Medical Group
Interscope Pathology Medical Group is an health care organization with primary practice located at 21114 Vanowen St , Canoga Park CA 91303-2811. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Interscope Pathology Medical Group can be contacted via phone (818) 992-7848, or through Bricklin, Alan S via phone (818) 992-7848.

Contact Information

Primary practice address
21114 Vanowen St Canoga Park CA 91303-2811
Phone: (818) 992-7848
Fax: (818) 992-7943
Website:
Map and Directions
Authorized official contact:
Name: Bricklin, Alan S Doctor of Medicine (MD)
Phone: (818) 992-7848

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CLF3199 California

Profile Details

NPI number 1386807246
LBN Legal business name Interscope Pathology Medical Group
DBA Doing business as
Authorized official Bricklin, Alan S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 9th, 2008 - about 17 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 1386807246 NPPES
California Other 05D0700248 MEDICARE/CLIA
California MEDICAID ZZZ59323Z MEDICARE/CLIA

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