MID-ATLANTIC PATHOLOGY SERVICES, INC. (NPI# 1245302009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245302009 |
| Entity Type | Organization |
| Organization Name | MID-ATLANTIC PATHOLOGY SERVICES, INC. |
| Practice Address |
405 Glenn Dr Suite 10-a Sterling VA 20164-7119 |
| Mailing Address |
11025 Rca Center Dr Suite 300 Palm Beach Gardens FL 33410-4269 |
| Practice Telephone | 7034048189 |
| Practice Fax Number | 7034041131 |
| Mailing Telephone | 5616265512 |
| Mailing Fax Number | 5616264530 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | MICHAEL C. GRATTENDICK (VICE PRESIDENT) |
| Authorized Official Telephone | 5616265512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 49D0898222 | VA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4109007 00 | 05 | |
| VA | RAILROAD MEDICARE | 690007157 | 01 |
| VA | SOUTHERN HEALTHCARE | 137554 | 01 |
| VA | CAREFIRST NATIONAL ACCTS | 6902000000KU90 | 01 |
| VA | ANTHEM BLUE CROSS | 200330 | 01 |
| VA | 006601812 | 05 | |
| VA | 006601839 | 05 | |
| VA | CAREFIRST OF MARYLAND | KU90MI | 01 |
| VA | CAREFIRST BLUE CROSS DC | B020 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229720 | Mid-atlantic Pathology Services, Inc. | Pathology | 405 Glenn Dr, Suite 10a, Sterling, VA 20164-7119 | 2017-04-18 |
| Street Address |
405 GLENN DR SUITE 10-A |
| City | STERLING |
| State | VA |
| Zip Code | 20164-7119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356383608 | Sonia Mikhail Kheir | Dermatology | 405 Glenn Dr, Ste 10a, Sterling, VA 20164 | 2006-06-12 |
| 1891229720 | Mid-atlantic Pathology Services, Inc. | Pathology | 405 Glenn Dr, Suite 10a, Sterling, VA 20164-7119 | 2017-04-18 |
| 1326246927 | Jennifer M Reese | Pathology | 405 Glenn Dr, Suite #10a, Sterling, VA 20164-7119 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1417317553 | Capital Diagnostic Laboratory LLC | Clinical Medical Laboratory | 46440 Benedict Dr, Suite 104, Sterling, VA 20164-6602 | 2016-03-02 |
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| 1528465929 | Resourcepath LLC | Clinical Medical Laboratory | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1548349152 | Sterling Rock Falls Clinic, Ltd | Clinical Medical Laboratory | 101 E Miller Rd, Sterling, IL 61081-1252 | 2006-11-03 |
| 1104868512 | Elisa/act Biotechnologies LLC | Clinical Medical Laboratory | 14 Pidgeon Hill Dr, Suite 300, Sterling, VA 20165-6155 | 2006-06-11 |
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| 1205445491 | Fairfax Medical Lab LLC | Clinical Medical Laboratory | 4221 Walney Rd Ste 401a, Chantilly, VA 20151-2987 | 2020-07-24 |
| 1659900348 | Microgen Health, Inc | Clinical Medical Laboratory | 14225 Sullyfield Cir Ste E, Chantilly, VA 20151-1688 | 2020-04-03 |
| 1750923520 | Metropolitan Laboratory Services Inc | Clinical Medical Laboratory | 12011 Lee Jackson Memorial Hwy Ste 200, Fairfax, VA 22033-3310 | 2019-10-14 |
| 1346881067 | Zenith Diagnostics, Inc. | Clinical Medical Laboratory | 13042 Rivers Bend Road, Chester, VA 23836-2383 | 2019-10-03 |
| 1952962482 | Accurate Medical Lab Inc | Clinical Medical Laboratory | 3927 Old Lee Hwy Ste 102d, Fairfax, VA 22030-2422 | 2019-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.