Yosemite Pathology Medical Group, In in Modesto - Clinical Medical Laboratory
Yosemite Pathology Medical Group, In - NPI 1114192176
Yosemite Pathology Medical Group, In is a Clinical Medical Laboratory in Modesto, California. Yosemite Pathology Medical Group, In practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Yosemite Pathology Medical Group, In is 1114192176. The last update date is 2008-04-29.
Yosemite Pathology Medical Group, In's current location address is Po Box 576768, Modesto, California. You can contact this provider via phone number 2095771200 and fax number 2095776517. The mailing address for Yosemite Pathology Medical Group, In is Po Box 576768, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Yosemite Pathology Medical Group, In |
|---|---|
| Address | Po Box 576768, Modesto, California |
| Phone Number | 2095771200 |
| Fax Number | 2095776517 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Colletti Robert |
| Credentials | MHA |
| Telephone Number | 2095771200 |
NPI Number Detail
| NPI Number | 1114192176 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | Po Box 576768 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953576768 |
| Phone Number | 2095771200 |
| Fax Number | 2095776517 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | A83286 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0017746 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Yosemite Pathology Medical Group, In?
The Yosemite Pathology Medical Group, In has been issued the NPI (National Provider Identifier) 1114192176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Yosemite Pathology Medical Group, In's physical address?
The Yosemite Pathology Medical Group, In is physically located at Po Box 576768, in the city of Modesto, CA, with the postal code 953576768.
What is Yosemite Pathology Medical Group, In's specialized field of practice, and what is the corresponding taxonomy classification code?
The Yosemite Pathology Medical Group, In's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
On what date did the Yosemite Pathology Medical Group, In receive the assignment of its 1114192176 from the Centers for Medicare & Medicaid Services?
The Yosemite Pathology Medical Group, In was issued its 1114192176 by the Centers for Medicare & Medicaid Services on 2008-04-29.
When was the information pertaining to Yosemite Pathology Medical Group, In most recently updated or revised?
The details related to Yosemite Pathology Medical Group, In, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-29.