San Diego Pathologists Medical Group Inc

LBN: San Diego Pathologists Medical Group Inc
San Diego Pathologists Medical Group Inc is an health care organization with primary practice located at 7592 Metropolitan Dr Suite 405-407, San Diego CA 92108-4428. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Immunopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. San Diego Pathologists Medical Group Inc can be contacted via phone (619) 297-4900, or through Stayboldt, Carla via phone (619) 325-8748.

Contact Information

Primary practice address
7592 Metropolitan Dr Suite 405-407 San Diego CA 92108-4428
Phone: (619) 297-4900
Fax: (619) 297-5460
Website:
Map and Directions
Authorized official contact:
Name: Stayboldt, Carla Doctor of Medicine (MD)
Phone: (619) 325-8748

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1982619466
LBN Legal business name San Diego Pathologists Medical Group Inc
DBA Doing business as
Authorized official Stayboldt, Carla Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Jun 20th, 2008 - about 16 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 1982619466 NPPES
California Other ZZZ57609Z BLUE SHIELD GROUP NUMBER
California MEDICAID ZZZ81205Z BLUE SHIELD GROUP NUMBER

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