Organization
NEWPORT PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS SAVENKO (PRESIDENT)
(949) 645-3127
Entity
Organization
Contact information
Practice address
1901 WESTCLIFF DR, SUITE 5, NEWPORT BEACH, CA 92660-5598
(949) 645-3127
Mailing address
1901 WESTCLIFF DR, SUITE 5, NEWPORT BEACH, CA 92660-5598
(949) 645-3127
(949) 645-3157
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB02269G
—
CA
Enumeration date
12/12/2006
Last updated
08/22/2020
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