Organization
PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI DIFRANCESCO (CEO/PRESIDENT)
(310) 225-3147
Entity
Organization
Contact information
Practice address
19951 MARINER AVE, SUITE 150, TORRANCE, CA 90503-1672
(310) 225-3214
(310) 380-7165
Mailing address
19951 MARINER AVE, SUITE 150, TORRANCE, CA 90503-1672
(310) 225-3147
(310) 380-7165
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
005D0980136
CA
291U00000X
Clinical Medical Laboratory
05D0980136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092020
—
CA
Enumeration date
10/02/2006
Last updated
01/22/2010
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