Merced Pathology Medical Group, Inc.
LBN: Merced Pathology Medical Group, Inc.
Merced Pathology Medical Group, Inc. is an health care organization with primary practice located at 3329 G St , Merced CA 95340-0964. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Merced Pathology Medical Group, Inc. can be contacted via phone (209) 723-4551, or through Carmichael, Grant P via phone (209) 723-4551.
Contact Information
Primary practice address
3329 G St
Merced CA 95340-0964
Phone: (209) 723-4551
Fax: (209) 723-0141
Website:
Authorized official contact:
Name: Carmichael, Grant P Doctor of Medicine (MD)
Phone: (209) 723-4551
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | CLF1095 | California |
Profile Details
| NPI number | 1609868199 |
|---|---|
| LBN Legal business name | Merced Pathology Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Carmichael, Grant P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 13th, 2011 - about 15 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 | 1609868199 | NPPES |
| California | MEDICAID | LAB44024F |
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