PACIFIC RIM PATHOLOGY MEDICAL CORPORATION


Address: 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109
Phone: 8586388120

PACIFIC RIM PATHOLOGY MEDICAL CORPORATION (NPI# 1417388562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417388562
Entity Type Organization
Organization Name PACIFIC RIM PATHOLOGY MEDICAL CORPORATION
Practice Address 3030 Bunker Hill Street
Suite 201
San Diego
CA 92109
Mailing Address 4980 Carroll Canyon Rd
Suite 2
San Diego
CA 92121-1736
Practice Telephone 8586388120
Enumeration Date 2013-11-27
Last Update Date 2015-05-13
Authorized Official Name ARTURO E MENDOZA (MEDICAL DIRECTOR)
Authorized Official Telephone 8589393660
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 207ZP0102X CA Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0080124 05
CA MEDICARE ID 05D2058823 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457449365 Pacific Rim Pathology Medical Corporation Clinical Medical Laboratory 5325 Metro St Ste A, San Diego, CA 92110-2608 2006-10-10
1922069087 Pacific Rim Pathology Medical Corporation Pathology 7901 Frost St, San Diego, CA 92123-2701 2006-03-29
1073574075 Pacific Rim Pathology Medical Corporation Pathology 250 Prospect Pl, San Diego, CA 92118-1943 2006-03-29
1225099237 Pacific Rim Pathology Medical Corporation Pathology 751 Medical Center Ct, Chula Vista, CA 91911-6617 2006-03-29

Office Location

Street Address 3030 BUNKER HILL STREET
SUITE 201
City SAN DIEGO
State CA
Zip Code 92109

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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Competitor

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City SAN DIEGO
Zip Code 92109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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