Pacific Oral Pathology Laboratory

LBN: Pacific Oral Pathology Laboratory
Pacific Oral Pathology Laboratory is an health care organization with primary practice located at 155 5Th St , San Francisco CA 94103-2919. The organization recently has only one registered license in Laboratories / Dental Laboratory, which is considered as the primary health care specialty. Pacific Oral Pathology Laboratory can be contacted via phone (415) 929-6572, or through Eversole, Lewis via phone (415) 929-6572.

Contact Information

Primary practice address
155 5Th St San Francisco CA 94103-2919
Phone: (415) 929-6572
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eversole, Lewis Doctor of Dental Surgery (DDS)
Phone: (415) 929-6572

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Dental Laboratory 292200000X

Profile Details

NPI number 1093777278
LBN Legal business name Pacific Oral Pathology Laboratory
DBA Doing business as
Authorized official Eversole, Lewis Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Mar 28th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093777278 NPPES
California MEDICAID LAB64366F

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