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
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(916) 447-6267
(916) 456-5872
Mailing address
3301 C ST STE 200E, SACRAMENTO, CA 95816-3363
(916) 447-6267
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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