Organization
C-S AND J PATHOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDY ELLEN COOPER-SMITH M.D. (PRESIDENT)
(805) 652-1516
Entity
Organization
Contact information
Practice address
2170 SOUTH AVE, BARTON MEMORIAL HOSPITAL-PATHOLOGY, SOUTH LAKE TAHOE, CA 96150-7026
(530) 542-3000
(530) 543-0124
Mailing address
352 LINCOLN DR, VENTURA, CA 93001-2322
(805) 652-1516
(805) 652-2157
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088350
—
NV
05
—
GR0016260
—
CA
Enumeration date
10/16/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us