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Organization

ANALYTIC PATHOLOGY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES B CARRY M.D. (PRESIDENT)
(760) 339-7100
Entity
Organization

Contact information

Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(619) 740-4492
(619) 740-4418
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8950
(805) 578-8950

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GR0092920
DHS GROUP ID
CA
01
ZZZ46835Z
BLUE SHIELD GROUP ID
CA
Enumeration date
03/16/2006
Last updated
07/14/2008
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