Organization
PATHOLOGY SERVICES INC.
Active
Parent organization
INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOG
Other names
Integrated Molecular Diagnostics Pathology, Inc., IMD Path
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOG
Authorized official
MR. ISRAEL VILLASENOR (EXECUTIVE VP/SECRETARY)
(831) 818-4051
Entity
Organization
Contact information
Practice address
3017 TELEGRAPH AVE, SUITE 100, BERKELEY, CA 94705-2049
(510) 606-8787
(866) 944-8050
Mailing address
1900 THE ALAMEDA, SUITE 530, SAN JOSE, CA 95126-1404
(866) 944-8050
(866) 944-8050
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
04/11/2017
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