Yosemite Pathology Medical Group, Inc

LBN: Yosemite Pathology Medical Group, Inc
Yosemite Pathology Medical Group, Inc is an health care organization with primary practice located at 2625 Coffee Rd Ste S, Modesto CA 95355-2050. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Immunopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Yosemite Pathology Medical Group, Inc can be contacted via phone (209) 577-1200, or through Colletti, Robert via phone (209) 577-1200.

Contact Information

Primary practice address
2625 Coffee Rd Ste S Modesto CA 95355-2050
Phone: (209) 577-1200
Fax: (209) 577-6517
Website:
Map and Directions
Authorized official contact:
Name: Colletti, Robert
Phone: (209) 577-1200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X C32684 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X C32684 California
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X C32684 California
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X C32684 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C32684 California

Profile Details

NPI number 1598760985
LBN Legal business name Yosemite Pathology Medical Group, Inc
DBA Doing business as
Authorized official Colletti, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 10th, 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 1598760985 NPPES
California MEDICAID GR0017742
California Other CP5083
California MEDICAID GR001774A
California Other 690005510
California MEDICAID GR0017744
California MEDICAID GR0017748
California MEDICAID GR0017741
California MEDICAID GR0017740
California MEDICAID GR0017745

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