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Organization

APPLIED PATHOLOGY MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM R STARKE MD (OWNER DIRECTOR)
(760) 347-8947
Entity
Organization

Contact information

Practice address
81-715 DR CARREON BLVD, STE A2, INDIO, CA 92201-5526
(760) 347-8947
(760) 347-2542
Mailing address
81-715 DR CARREON BLVD, STE A2, INDIO, CA 92201-5526
(760) 347-8947
(760) 347-2542

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF4029
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D0643136
CLIA
CA
01
CLF4029
LAB ID
CA
05
LAB43136F
CA
Enumeration date
03/01/2006
Last updated
06/12/2008
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