Organization
UNIVERSITY PATHOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIVE R. TAYLOR M.D., PH.D. (PRESIDENT)
(323) 442-1180
Entity
Organization
Contact information
Practice address
2011 ZONAL AVE,, SUITE 209, LOS ANGELES, CA 90089-0181
(323) 442-2582
(323) 442-2588
Mailing address
2011 ZONAL AVE, SUITE 209, LOS ANGELES, CA 90089-5364
(323) 442-2582
(323) 442-2588
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
05D0928654
CA
207ZC0500X
Cytopathology Physician
05D0928654
CA
207ZD0900X
Dermatopathology (Pathology) Physician
05D0928654
CA
207ZF0201X
Forensic Pathology Physician
05D0928654
CA
207ZH0000X
Hematology (Pathology) Physician
05D0928654
CA
207ZI0100X
Immunopathology Physician
05D0928654
CA
207ZM0300X
Medical Microbiology Physician
05D0928654
CA
207ZN0500X
Neuropathology Physician
05D0928654
CA
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
05D0928654
CA
207ZP0101X
Anatomic Pathology Physician
05D0928654
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
05D0928654
CA
207ZP0104X
Chemical Pathology Physician
05D0928654
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
05D0928654
CA
207ZP0213X
Pediatric Pathology Physician
05D0928654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0058906
CLIA
CA
01
—
05D0670053
CLIA
CA
01
—
05D0928654
CLIA ID NUMBER
CA
01
—
05D0939440
CLIA NUMBER
CA
01
—
05D1065390
CLIA NUMBER
CA
05
—
807975000
—
ID
01
—
CG4848
RAILROAD MEDICARE
CA
01
—
CH7107
RAILROAD MEDICARE
CA
01
—
CQ2142
RAILROAD MEDICARE
CA
05
—
GR0101420
—
CA
05
—
GR0101421
—
CA
05
—
LAB28654F
—
CA
05
—
LAB39440F
—
CA
Enumeration date
07/27/2006
Last updated
07/24/2008
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