NPIMap

Organization Active NPI

Mid-Atlantic Pathology Services, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Falls Church, VA
National Provider Identifier
1235974080
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MID-ATLANTIC PATHOLOGY SERVICES, INC
Practice address
2126 Haycock Rd
Falls Church, VA 22043-1717
Phone
(703) 404-8189
NPI assigned
Jun 25, 2024
Organization subpart
Yes
Parent organization
MID-ATLANTIC PATHOLOGY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Grattendick
Title
Cfo
Phone
(954) 803-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

2126 Haycock Rd
Falls Church, VA 22043-1717

Mailing address

1355 River Bend Dr
Dallas, TX 75247-4915
Phone (954) 803-9405

National Provider Directory

National Provider Directory
Tax ID family
Mid-Atlantic Pathology Services Inc5 organizations share this tax ID, including this one
Part of
Mid-Atlantic Pathology Services Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1235974080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "954-803-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 HAYCOCK RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431717",
            "telephone_number": "703-404-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC PATHOLOGY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC PATHOLOGY SERVICES, INC",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "GRATTENDICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-803-9405"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.