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Contact Information

POTOMAC PATHOLOGY CONSULTANTS INC
2500 HOSPITAL DR
MARTINSBURG, WV25401-3402
 Phone: 304-264-1000
 Fax:
 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 POTOMAC PATHOLOGY CONSULTANTS INC

NPI # 1629160858
LBN Legal business name POTOMAC PATHOLOGY CONSULTANTS INC
Authorized official HERNANDO JIMENEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 09/16/2014 - About 12 years ago
Identifiers
WV License # 10129
WV Medicaid 0101738000 - IND.
WV Other DG7831 RAILROAD MEDICARE
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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