Organization
DELTA MEDICAL GROUP OF PATHOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIRA MILANO M.D. (PRESIDENT)
(408) 891-0837
Entity
Organization
Contact information
Practice address
975 S FAIRMONT AVE, CONRAD BUILDING, LODI, CA 95240-5118
(408) 891-0837
Mailing address
PO BOX 2390, LODI, CA 95241-2390
(408) 891-0837
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0104X
Chemical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
05/27/2009
Last updated
05/22/2013
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