Alta Anatomic Pathology Medical Group
LBN: Alta Anatomic Pathology Medical Group
Alta Anatomic Pathology Medical Group is an health care organization with primary practice located at 2450 Ashby Ave , Berkeley CA 94705-2067. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is the primary health care specialty.
Alta Anatomic Pathology Medical Group can be contacted via phone (510) 204-1642, or through Burke, Jerome S via phone (510) 204-1642.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1720057367 |
|---|---|
| LBN Legal business name | Alta Anatomic Pathology Medical Group |
| DBA Doing business as | |
| Authorized official | Burke, Jerome S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720057367 | NPPES |
| California | Other | GR0022700 | DHS MEDI-CAL |
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