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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