Organization
PACIFIC PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B. CAMPBELL M.D. (DIRECTOR)
(858) 576-9960
Entity
Organization
Contact information
Practice address
9292 CHESAPEAKE DRIVE, SUITE 100, SAN DIEGO, CA 92123-1059
(858) 576-9960
(858) 576-6857
Mailing address
9292 CHESAPEAKE DRIVE, SUITE 100, SAN DIEGO, CA 92123-1059
(858) 576-9960
(858) 576-6857
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 10272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055390
—
CA
Enumeration date
07/27/2006
Last updated
05/04/2015
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