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Contact Information

OLD DOMINION PATHOLOGY ASSOCIATES, LLC
3289 WOODBURN RD
STE 220
ANNANDALE, VA22003-6800
 Phone: 703-698-1080
 Fax: 703-698-1082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for OLD DOMINION PATHOLOGY ASSOCIATES LLC · (Female)

NPI Number 1134449051
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2010
Last updated 05/01/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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