Organization
STOCKTON PATHOLOGY MEDICAL GROUP
Active
Organization
STOCKTON PATHOLOGY MEDICAL GROUP
Active
Other names
Stockton Pathology Medical Group Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MCDAVIT M.D. (AUTHORIZED OFFICIAL)
(209) 943-2000
Entity
Organization
Contact information
Practice address
2131 N CALIFORNIA ST, STOCKTON, CA 95204-6030
(209) 465-6221
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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