Provider Demographics
NPI:1558186650
Name:DIAMOND PATHOLOGY LLC
Entity type:Organization
Organization Name:DIAMOND PATHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNAB
Authorized Official - Middle Name:
Authorized Official - Last Name:BISWAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-383-8147
Mailing Address - Street 1:17203 JASMINE ST
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7786
Mailing Address - Country:US
Mailing Address - Phone:760-881-3377
Mailing Address - Fax:760-881-3377
Practice Address - Street 1:12595 HESPERIA RD STE 101
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5882
Practice Address - Country:US
Practice Address - Phone:760-881-3377
Practice Address - Fax:760-881-3379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty