Organization
PATHWAY DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BART THIELEN (CFO)
(310) 774-3555
Entity
Organization
Contact information
Practice address
3003 MALIBU CANYON RD, MALIBU, CA 90265-4760
(310) 774-3555
(310) 774-3551
Mailing address
3003 MALIBU CANYON RD, MALIBU, CA 90265-4760
(310) 774-3555
(310) 774-3551
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF11824
CA
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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