Organization
INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC.
Active
Parent organization
INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC.
Other names
IMD Path
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED MOLECULAR DIAGNOSTICS PATHOLOGY, INC.
Authorized official
ISRAEL VILLASENOR (CHIEF OPERATING OFFICER)
(831) 818-4051
Entity
Organization
Contact information
Practice address
4150 TRUXEL RD STE C, SACRAMENTO, CA 95834-3761
(510) 849-6189
Mailing address
2855 TELEGRAPH AVE STE 203, BERKELEY, CA 94705-1153
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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