NPI | 1205213196 |
---|---|
Doing Business As | STOCKTON PATHOLOGY MEDICAL GROUP LABORATORY |
Entity Type | Organization |
Authorized Contact | JEFFREY MCDAVIT Authorized Official 209-943-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2015-04-30 |
Last Update Date | 2015-04-30 |