Keller Dermatopathology Med Grp Inc

LBN: Keller Dermatopathology Med Grp Inc
Keller Dermatopathology Med Grp Inc is an health care organization with primary practice located at 401 29Th St Suite 109, Oakland CA 94609-3519. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Keller Dermatopathology Med Grp Inc can be contacted via phone (510) 663-6204, or through Keller, Albert R via phone (510) 663-6204.

Contact Information

Primary practice address
401 29Th St Suite 109 Oakland CA 94609-3519
Phone: (510) 663-6204
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keller, Albert R Doctor of Medicine (MD)
Phone: (510) 663-6204

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CLF11769 California

Profile Details

NPI number 1356354823
LBN Legal business name Keller Dermatopathology Med Grp Inc
DBA Doing business as
Authorized official Keller, Albert R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356354823 NPPES
California Other ZZZ06208Z BLUE SHIELD
California MEDICAID LAB08537F BLUE SHIELD

Popular Providers