Organization
THE NEPHROLOGY GROUP, INC. CLINICAL LAB
Active
Parent organization
THE NEPHROLOGY GROUP, INC.
Other names
FRESNO NEPHROLOGY MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE NEPHROLOGY GROUP, INC.
Authorized official
STEVE W SU MD (MD)
(559) 228-6600
Entity
Organization
Contact information
Practice address
568 E HERNDON AVE STE 104, FRESNO, CA 93720-2989
(559) 228-6600
(559) 226-3709
Mailing address
568 E HERNDON AVE STE 201, FRESNO, CA 93720-2989
(559) 228-6600
(559) 226-3709
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062730
—
CA
Enumeration date
03/30/2017
Last updated
07/21/2022
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