Organization
VALLEY INTERVENTIONAL PAIN MEDICAL GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E BARNETT MD (OWNER)
(209) 571-1693
Entity
Organization
Contact information
Practice address
1524 MCHENRY AVE, #445, MODESTO, CA 95350
(209) 571-1693
(209) 571-0326
Mailing address
1524 MCHENRY AVE., #445, MODESTO, CA 95350
(209) 571-1693
(209) 571-0326
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1086032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1086032
CLIA STATE OF CA
CA
Enumeration date
12/18/2008
Last updated
03/19/2015
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