Provider First Line Business Practice Location Address:
4181 STATE STREET
Provider Second Line Business Practice Location Address:
MEDICAL GROUP PATHOLOGY LAB
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-1800
Provider Business Practice Location Address Fax Number:
805-569-6233
Provider Enumeration Date:
11/27/2006