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Contact Information

NORTHERN VIRGINIA PATHOLOGY PC
3600 JOSEPH SIEWICK DR
FAIRFAX, VA22033-1709
 Phone: 703-391-3654
 Fax: 703-391-3049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for NORTHERN VIRGINIA PATHOLOGY PC

NPI # 1013971126
LBN Legal business name NORTHERN VIRGINIA PATHOLOGY PC
Authorized official BRUCE WERNESS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2006
Last updated 01/15/2008 - About 18 years ago
Identifiers
VA License # 0101049095
VA License # MD0101042785
VA Other 187030 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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