Organization
DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J FINN (CEO)
(916) 446-0424
Entity
Organization
Contact information
Practice address
2825 CAPITOL AVE, SACRAMENTO, CA 95616-5616
(916) 447-6267
(916) 456-5842
Mailing address
3301 C ST, #200E, SACRAMENTO, CA 95816-3300
(916) 447-6267
(916) 447-0621
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184709313
—
CA
01
—
CS7233
MEDICARE RAILROAD
CA
Enumeration date
10/26/2006
Last updated
10/21/2015
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