Provider Demographics
NPI:1497851471
Name:GYNE PATH LAB INC
Entity Type:Organization
Organization Name:GYNE PATH LAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-866-5227
Mailing Address - Street 1:100 ALBRIGHT WAY STE C
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1837
Mailing Address - Country:US
Mailing Address - Phone:408-866-5227
Mailing Address - Fax:408-866-5228
Practice Address - Street 1:100 ALBRIGHT WAY STE C
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1837
Practice Address - Country:US
Practice Address - Phone:408-866-5227
Practice Address - Fax:408-866-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF 1631291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ33972ZMedicare Oscar/Certification