Organization
ALTA EAST BAY PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY O'ROURKE MD (PRESIDENT)
(510) 204-1642
Entity
Organization
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 869-6567
Mailing address
PO BOX 848109, LOS ANGELES, CA 90084-8109
(510) 607-9973
(314) 932-2823
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB9620
RAILROADMEDICARE
—
05
—
GR0095401
—
CA
Enumeration date
04/04/2006
Last updated
02/10/2026
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