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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 STAYBOLDT M.D. (PRESIDENT)
(800) 288-8325
Entity
Organization
Contact information
Practice address
7592 METROPOLITAN DR, SUITE 405-407, SAN DIEGO, CA 92108-4428
(619) 297-4900
(619) 297-5460
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
NULL
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
NULL
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
NULL
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
NULL
207ZI0100X
Immunopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/13/2026
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