Organization
ST. MARY'S PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MULHOLLAND MD (DR.)
(800) 288-8325
Entity
Organization
Contact information
Practice address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(415) 750-5750
(415) 750-8123
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
G12242
CA
291U00000X
Clinical Medical Laboratory
G58290
CA
Other
Enumeration date
07/05/2006
Last updated
06/24/2014
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