Metirra Pathology PC

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

METIRRA PATHOLOGY PC

Practice address

10128 W Broad St Ste H
Glen Allen, VA 23060-6761

Phone

(949) 616-2809

NPI assigned

Jul 27, 2026

Organization subpart

No

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

Authorized official

Name

Edwin C Hendrick

Title

Evp Commercial

Phone

(949) 616-2809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1306768858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 W ASHTON BLVD STE 300",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840484968",
            "telephone_number": "949-616-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10128 W BROAD ST STE H",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606761",
            "telephone_number": "949-616-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METIRRA PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EVP COMMERCIAL",
        "authorized_official_telephone_number": "949-616-2809"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Pathology Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.