Organization
ASSOCIATED PATHOLOGY MEDICAL GROUP
Active
Parent organization
ASSOCIATED PATHOLOGY MEDICAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED PATHOLOGY MEDICAL GROUP, INC
Authorized official
LIZ SANDOVAL (BILLING MANAGER)
(408) 884-2710
Entity
Organization
Contact information
Practice address
75 NEILSON ST, WATSONVILLE, CA 95076-2468
(408) 884-2710
(408) 884-2734
Mailing address
PO BOX 665, LOS GATOS, CA 95031-0665
(408) 884-2710
(408) 884-2734
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088851
—
CA
Enumeration date
11/21/2006
Last updated
06/24/2020
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