Organization
CARSON-TAHOE PATHOLOGY DRS JACK & DOBERNECK LTD
Active
Other names
DBA Carson-Tahoe Pathology, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH JACK M.D. (PARTNER)
(775) 445-8502
Entity
Organization
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(805) 250-5764
(775) 888-4448
Mailing address
1633 ERRINGER RD STE 101, SIMI VALLEY, CA 93065-3580
(805) 250-5764
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
5089
NV
Other
Enumeration date
01/23/2007
Last updated
01/19/2023
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