Organization
ST. VINCENT PATHOLOGY MEDICAL GROUP
Active
Organization
ST. VINCENT PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LU CONRAD JR. MD (PRESIDENT)
(323) 913-4934
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6098
(323) 913-4934
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052810
—
CA
Enumeration date
03/29/2006
Last updated
09/14/2022
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