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General NPI Number Information
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NPI Number | 1235138868
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 3301 C ST #200E
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City | SACRAMENTO
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State | CA
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Zip | 95816-3300
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Country | US
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Telephone | 916-447-6267
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Fax | 916-447-0621
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Provider Business Mailing Address
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Address Line | 3301 C ST #200E
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City | SACRAMENTO
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State | CA
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Zip | 95816-3300
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Country | US
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Telephone | 916-447-6267
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Fax | 916-447-0621
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. MICHAEL J FINN
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Credential |
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Telephone | 916-447-6267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 05D0644168
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License Number State | CA
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