Mid-Atlantic Pathology Services, INC

NPI #1720823578 in Mc Lean, Virginia

Provider Information

NPI Number: 1720823578
Entity Type: Organization
Organization Name: Mid-Atlantic Pathology Services, INC
Subpart: Yes (part of a larger organization)
Parent Organization: MID-ATLANTIC PATHOLOGY SERVICES, INC.
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Jun 25, 2024
Last Updated: Jun 25, 2024

Practice Location

Address: 1171 WINDROCK DR
City: Mc Lean
State: Virginia
ZIP Code: 22102-1547
Phone: (703) 404-8189

Authorized Official

Name: MICHAEL GRATTENDICK GRATTENDICK
Title: CFO
Phone: (954) 803-9405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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