Organization
PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI DIFRANCESCO (PRESIDENT & CEO)
(310) 225-3147
Entity
Organization
Contact information
Practice address
199 S ADDISON RD, SUITE 103, WOOD DALE, IL 60191-1929
(877) 647-1082
(630) 412-2010
Mailing address
19951 MARINER AVE, SUITE 150, TORRANCE, CA 90503-1672
(310) 769-0561
(310) 380-7165
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D2041305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092020
—
CA
Enumeration date
07/05/2012
Last updated
07/05/2012
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