Organization
DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J FINN (CEO)
(916) 446-0424
Entity
Organization
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 447-6267
(916) 447-0621
Mailing address
3301 C ST, #200E, SACRAMENTO, CA 95816-3300
(916) 447-6267
(916) 447-0621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS7233
MEDICARE RAILROAD
CA
05
—
GR0010574
—
CA
Enumeration date
10/25/2006
Last updated
03/05/2014
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