Organization
TATE DIAGNOSTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE JOY TATE (PRESIDENT)
(209) 952-9300
Entity
Organization
Contact information
Practice address
628 LINCOLN CTR, STOCKTON, CA 95207-2640
(209) 952-9300
(209) 952-9191
Mailing address
628 LINCOLN CTR, STOCKTON, CA 95207-2640
(209) 952-9300
(209) 952-9191
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066981
—
CA
Enumeration date
04/15/2007
Last updated
08/01/2008
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