Yosemite Pathology Medical Group
LBN: Yosemite Pathology Medical Group
Yosemite Pathology Medical Group is an health care organization with primary practice located at 1441 Florida Ave , Modesto CA 95350-4405. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Yosemite Pathology Medical Group can be contacted via phone (209) 577-1200, or through Colletti, Robert via phone (209) 577-1200.
Contact Information
Primary practice address
1441 Florida Ave
Modesto CA 95350-4405
Phone: (209) 577-1200
Fax: (209) 577-6517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | G25623 | California |
| Laboratories / Clinical Medical Laboratory | 291U00000X | A72455 | California |
| Laboratories / Clinical Medical Laboratory | 291U00000X | A83286 | California |
Profile Details
| NPI number | 1831364140 |
|---|---|
| LBN Legal business name | Yosemite Pathology Medical Group |
| DBA Doing business as | |
| Authorized official | Colletti, Robert M.H.A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831364140 | NPPES |
| California | MEDICAID | GR0017740 |
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