Organization
HISTO-PATH TECHNICAL SPECIALTIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MICHELLE DANIEL (VP, BILLING MGR)
(209) 522-8240
Entity
Organization
Contact information
Practice address
4847 KIERNAN CT STE 1, SALIDA, CA 95368-9524
(209) 575-4575
(209) 575-4598
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/28/2006
Last updated
12/12/2024
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