Organization
NORCAL PATHOLOGY LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MAZOROS (ADMINISTRATOR)
(510) 456-4650
Entity
Organization
Contact information
Practice address
39350 CIVIC CENTER DRIVE # 412, FREMONT, CA 94538
(510) 456-4650
Mailing address
39350 CIVIC CENTER DRIVE # 280, FREMONT, CA 94538
(510) 456-4650
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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