Memorial Pathology Medical Group Inc

LBN: Memorial Pathology Medical Group Inc
Memorial Pathology Medical Group Inc is an health care organization with primary practice located at 3828 Delmas Ter , Culver City CA 90232-2713. 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. Memorial Pathology Medical Group Inc can be contacted via phone (310) 836-7000, or through Power, William via phone (310) 836-7000.

Contact Information

Primary practice address
3828 Delmas Ter Culver City CA 90232-2713
Phone: (310) 836-7000
Fax: (310) 815-3107
Website:
Map and Directions
Authorized official contact:
Name: Power, William Doctor of Medicine (MD)
Phone: (310) 836-7000

Health care specialties

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

Profile Details

NPI number 1477515500
LBN Legal business name Memorial Pathology Medical Group Inc
DBA Doing business as
Authorized official Power, William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 17th, 2013 - about 12 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 1477515500 NPPES
California MEDICAID GR0016480

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