1. Home
  2. Directory
  3. California
  4. Lodi
  5. Pathology
  6. NPI Profile

DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
NPI 1023673167
Pathology - Anatomic Pathology & Clinical Pathology in Lodi, CA

Active since May 03, 2019CLIA 05D2101404 · Accreditation
975 S FAIRMONT AVE, LODI, CA 95240(916) 447-6267(916) 456-5842 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diagnostic Pathology Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC (NPI 1023673167) is a healthcare organization registered as an anatomic pathology & clinical pathology in Lodi, California and active in the NPI registry since May 2019. The organization holds an CLIA Accreditation certificate valid through April 25, 2027 and lists Derek K Marsee, President, as its authorized official.

NPPES Registry Identity

NPI1023673167
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameDIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
Location Address975 S FAIRMONT AVELodi, CA 95240-5118
Mailing Address3301 C St Ste 200eSacramento, CA 95816-3363 · (916) 447-6267 · Fax (916) 456-5842
Phone(916) 447-6267
Fax(916) 456-5842
Organization SubpartNo
Authorized OfficialDerek K MarseePresident · (916) 447-6267
Enumeration DateMay 3, 2019
✔ NPI 1023673167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
975 S FAIRMONT AVE, Lodi, CA 95240
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2101404

Diagnostic Pathology Medical Group Inc · Sacramento, CA
Active · expires Apr 25, 2027
CLIA Number05D2101404
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorDr. Ly Ma
Laboratory Phone(916) 440-6317
Laboratory LocationDiagnostic Pathology Medical Group Inc2801 K St Ste 235, Sacramento, CA 95816
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERI SPRING RD
Dietitian, Registered
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
DR. KEVIN EARL RABEY M.D.
Emergency Medicine
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
ARIANNA BUSH
Physician Assistant
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
LODI MEMORIAL HOSPTIAL PHARMACY WEST
Pharmacy (Clinic Pharmacy)
975 S FAIRMONT AVE, 2415 W VINE #104
LODI, CA 95240
San Joaquin County (209) 334-3411
MRS. KRISTINA FORTES FNP, MSN, RN
Nurse Practitioner (Family)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
ADAM JOSEPH WOODYARD DO
Radiology (Diagnostic Radiology)
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-3411
LANCY LU
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 339-7639
DR. HAELI PARK MD
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 339-7639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diagnostic Pathology Medical Group Inc's NPI number?

The NPI number for Diagnostic Pathology Medical Group Inc is 1023673167. It was assigned to this organization in the NPPES registry on May 3, 2019.

Where is Diagnostic Pathology Medical Group Inc located?

Diagnostic Pathology Medical Group Inc is located at 975 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (916) 447-6267.

What is Diagnostic Pathology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Does Diagnostic Pathology Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D2101404) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diagnostic Pathology Medical Group Inc was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.