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Organization

TMI PATHOLOGY ASSOCIATES, AMG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS KASIMIAN M.D. (PRESIDENT)
(818) 780-3242
Entity
Organization

Contact information

Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-2961
(818) 902-3903
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
CLF1560
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D0560695
CLIA
CA
Enumeration date
01/19/2010
Last updated
01/19/2010
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