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Organization
MEDICAL DIAGNOSTIC LABORATORIES
Active
Organization
MEDICAL DIAGNOSTIC LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FREDERICK JENSEN M.D. (PATHOLOGIST/DIRECTOR)
(209) 406-8938
Entity
Organization
Contact information
Practice address
385 WOODVIEW AVE, SUITE # 175, MORGAN HILL, CA 95037-2891
(209) 406-8938
(408) 636-7021
Mailing address
385 WOODVIEW AVE, SUITE # 175, MORGAN HILL, CA 95037-2891
(209) 406-8938
(408) 636-7021
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G54073
CA
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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