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Organization
SAN DIEGO PATHOLOGISTS MEDICAL GROUP INC
Active
Organization
SAN DIEGO PATHOLOGISTS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA J. STAYBOLDT M.D. (PRESIDENT)
(800) 288-8325
Entity
Organization
Contact information
Practice address
7592 METROPOLITAN DR, SUITE 405, SAN DIEGO, CA 92108-4428
(619) 325-8726
(619) 325-8728
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
07/13/2026
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