Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diagnostic Pathology Medical Group, Inc

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1417636093

Diagnostic Pathology Medical Group, Inc is an Anatomic Pathology & Clinical Pathology Physician in Carson City, Nevada. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone: (916) 447-6267
Fax: (916) 456-5872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1417636093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Boado — Billing Supervisor · (916) 447-6267
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address3301 C St Ste 200e, Sacramento, CA 95816-3363

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