Peninsula Pathology Associates Of Virginia PLLC
Pathology, Anatomic Pathology & Clinical Pathology in Newport News, VA. Organization (NPI-2).
NPI number1972909497
StatusActive
Last updated in NPPESNov 18, 2014
Details
- NPI
- 1972909497
- Entity type
- Organization (NPI-2)
- Legal business name
- Peninsula Pathology Associates Of Virginia PLLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2014
- Last updated
- Nov 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 0101054006 | VA | Yes |
| 207ZH0000X | Pathology, Hematology | 0101054006 | VA |
Practice location
500 J Clyde Morris BlvdNewport News, VA 23601-1929
Phone 757-594-2000
Mailing address
Po Box 19100Roanoke, VA 24019-1010
Authorized official
David M Smith
President
7575942867
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