Organization
DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE J BOADO (BILLING SUPERVISOR)
(916) 447-6267
Entity
Organization
Contact information
Practice address
1680 E ROSEVILLE PKWY # 100, ROSEVILLE, CA 95661-3988
(916) 447-6267
(916) 456-5842
Mailing address
3301 C ST STE 200E, SACRAMENTO, CA 95816-3363
(916) 447-6267
(916) 456-5842
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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