PACIFIC ORAL PATHOLOGY LABORATORY NPI 1093777278

NPI Information

NPI: 1093777278
Provider Name: PACIFIC ORAL PATHOLOGY LABORATORY
Classification: Dental Laboratory - 292200000X
Entity Type: Organization

CLIA Number: 05D0643664

Address:
155 5TH ST
SAN FRANCISCO, CA
ZIP 94103
Phone: (415) 929-6572
Get Directions

PACIFIC ORAL PATHOLOGY LABORATORY is a dental laboratory in San Francisco, CA. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. PACIFIC ORAL PATHOLOGY LABORATORY NPI is 1093777278. The provider is registered as an organization entity type.

The provider's business location address is:

155 5TH ST
SAN FRANCISCO, CA
ZIP 94103-919
Phone: (415) 929-6572

The provider's authorized official is Lewis Eversole .
The authorized official title is President and has the following contact phone number (415) 929-6572.

The CLIA number assigned to this NPI record is 05D0643664 - other - oral pathology with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 3/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	292200000X	Dental Laboratory				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ84563Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP ID
2	LAB64366F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »