Organization
MEMORIAL PATHOLOGY MEDICAL GROUP INC
Active
Organization
MEMORIAL PATHOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM POWER MD (PRESIDENT)
(310) 836-7000
Entity
Organization
Contact information
Practice address
3828 HUGHES AVE, CULVER CITY, CA 90232-2716
(310) 836-7000
(310) 815-3107
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0016480
—
CA
Enumeration date
10/24/2008
Last updated
03/12/2010
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