| NPI | 1669034518 |
|---|---|
| Doing Business As | DIAGNOSTIC PATHOLOGY MEDICAL GROUP, INC |
| Entity Type | Organization |
| Authorized Contact | DEREK K MARSEE President 916-447-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |