Saint Agnes Pathology Medical Group

LBN: Saint Agnes Pathology Medical Group
Saint Agnes Pathology Medical Group is an health care organization with primary practice located at 1303 E. Herndon Avenue , Fresno CA 93720-3309. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as the primary health care specialty. Saint Agnes Pathology Medical Group can be contacted via phone (559) 450-3130, or through Fang, Wei via phone (559) 430-3130.

Contact Information

Primary practice address
1303 E. Herndon Avenue Fresno CA 93720-3309
Phone: (559) 450-3130
Fax: (559) 450-2035
Website:
Map and Directions
Authorized official contact:
Name: Fang, Wei Doctor of Medicine (MD)
Phone: (559) 430-3130

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X

Profile Details

NPI number 1700804689
LBN Legal business name Saint Agnes Pathology Medical Group
DBA Doing business as
Authorized official Fang, Wei Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 25th, 2016 - about 9 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 1700804689 NPPES
California MEDICAID GR0041880

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