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Contact Information

DOMINION PATHOLOGY ASSOCIATES PC
1 RIVERSIDE CIR STE 105
ROANOKE, VA24016-4961
 Phone: 540-581-0155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DOMINION PATHOLOGY ASSOCIATES PC

NPI Number 1750380879
LBN Legal business name DOMINION PATHOLOGY ASSOCIATES PC
Authorized official BRIAN NEWMAN - (PATHOLOGIST PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2005
Last updated 02/20/2023 - About 3 years ago
Identifiers
WV Medicaid 0202697000
Other 020260000 FEDERAL BLACK LUNG
Other CH7207 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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