Organization
COUNTY OF FRESNO
Active
Organization
COUNTY OF FRESNO
Active
Other names
Department of Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID POMAVILLE M.B.A., R.E.H.S. (DIRECTOR)
(559) 600-3200
Entity
Organization
Contact information
Practice address
1221 FULTON MALL, PUBLIC HEALTH LAB, BASEMENT, FRESNO, CA 93721-1915
(559) 600-3200
(559) 600-7687
Mailing address
PO BOX 11867, PUBLIC HEALTH LAB, BASEMENT, FRESNO, CA 93775-1867
(559) 600-3200
(559) 600-7687
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341
CHDP BLUE CROSS
CA
01
—
351
CHDP HEALTH NET
CA
01
—
LAB89686F
LAB CHDP
CA
01
—
ZZZ83427Z
MEDI-CAL
CA
Enumeration date
10/19/2006
Last updated
05/16/2014
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