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 100 Mission Blvd , Jackson CA 95642-2536. 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, Inc can be contacted via phone (209) 577-1200, or through Colletti, Robert via phone (209) 577-1200.

Contact Information

Primary practice address
100 Mission Blvd Jackson CA 95642-2536
Phone: (209) 577-1200
Fax: (209) 577-6517
Website:
Map and Directions
Authorized official contact:
Name: Colletti, Robert MHA
Phone: (209) 577-1200

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X G37943 California
Laboratories / Clinical Medical Laboratory 291U00000X A24567 California
Laboratories / Clinical Medical Laboratory 291U00000X G66626 California
Laboratories / Clinical Medical Laboratory 291U00000X G27612 California

Profile Details

NPI number 1760657720
LBN Legal business name Yosemite Pathology Medical Group, Inc
DBA Doing business as
Authorized official Colletti, Robert MHA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated Oct 29th, 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 1760657720 NPPES
California MEDICAID GR001774B

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