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Contact Information

MID-ATLANTIC PATHOLOGY SERVICES, INC.
1171 WINDROCK DR
MCLEAN, VA22102-1547
 Phone: 703-404-8189
 Fax: 703-404-1131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MID-ATLANTIC PATHOLOGY SERVICES, INC.

NPI Number 1245302009
LBN Legal business name MID-ATLANTIC PATHOLOGY SERVICES, INC.
Authorized official DINA VALLADARES - (SENIOR DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 04/07/2026 - About 2 months ago
Identifiers
VA License # 49D0898222
MD Medicaid 4109007 00
VA Medicaid 006601812
VA Medicaid 006601839
VA Other 200330 ANTHEM BLUE CROSS
VA Other B020 CAREFIRST BLUE CROSS DC
VA Other 6902000000KU90 CAREFIRST NATIONAL ACCTS
VA Other KU90MI CAREFIRST OF MARYLAND
VA Other 690007157 RAILROAD MEDICARE
VA Other 137554 SOUTHERN HEALTHCARE
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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