1295797355

Everything you always wanted to know about PRECISION PATHOLOGY MEDICAL GROUP INC VICTORIO ANTHONY but were afraid to ask.

PRECISION PATHOLOGY MEDICAL GROUP INC VICTORIO ANTHONY

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Organization Name Authorized Official Last Name Authorized Official First Name
PRECISION PATHOLOGY MEDICAL GROUP INC VICTORIO ANTHONY
Gender:
none
Enumeration date:
2006-04-04
Last update date:
2013-11-14
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
ZZZ23961Z Medicare ID-Type Undpecified GROUP ID CA
DB2871 Other RAILROAD MEDICARE CA
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN
<UNAVAIL> Parent Organization TIN

Taxonomies

Taxonomy State License Number Primary?
207ZB0001X Blood Banking & Transfusion Medicine none none N
207ZC0500X Cytopathology none none N
207ZD0900X Dermatopathology none none N
207ZH0000X Hematology none none N
207ZI0100X Immunopathology none none N
207ZM0300X Medical Microbiology none none N
207ZN0500X Neuropathology none none N
207ZP0102X Anatomic Pathology & Clinical Pathology none none Y
207ZP0104X Chemical Pathology none none N
207ZP0105X Clinical Pathology/Laboratory Medicine none none N
207ZP0213X Pediatric Pathology none none N

Phone Numbers

Type Number
Mailing Address Telephone Number 2095771200
Authorized Official Telephone Number 2095771200
Mailing Address Fax Number 2095776517
Practice Location Address Telephone Number 9252758408

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 576730 MODESTO CA 95357 CA
Practice Location Address 6001 NORRIS CANYON RD SAN RAMON CA 0 CA

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1245699396 GLOVER, EVA
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1437155629 DOLAN, GARY
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1619037744 SOTO, MARCO
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1629073580 CUI, SHIJUN
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1659534535 RODGERS-OHLAU, MELISSA
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1659593606 VICTORIO, ANTHONY
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1669478848 NIJJAR, AVTARINDER
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1669743159 SCHULKE, ASHLEY
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1710955364 SIU, ALBERT
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1730473794 LIST, JOHN
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1000 GREENLEY RD CA SONORA
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1821126350 YANG, TONY
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1821470717 WESTON, CHRISTOPHER
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1841499522 DASH, ARUNA
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1861704058 DANIALAN, RICHARD
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1871818617 LY, BRENDA
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1932581824 GARCHOW, KENDRA
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6001 NORRIS CANYON RD CA SAN RAMON

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