Organization Active NPI

Annapath, Inc

  • Clinical Medical Laboratory
  • Bowie, MD
National Provider Identifier
1366539595
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ANNAPATH, INC
Practice address
4801 Tesla Dr Ste HJKL&M
Bowie, MD 20715-4320
Phone
(301) 352-6100
Fax
(301) 352-6300
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Mr. Craig J Zwobot
Title
Vice-President
Phone
(443) 223-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4801 Tesla Dr Ste HJKL&M
Bowie, MD 20715-4320

Mailing address

4801 Telsa Drive
Suite H
Bowie, MD 20715-4327
Phone (301) 352-6100

Other practice location 1

3299 Woodburn Rd Ste 210
Annandale, VA 22003-7317
Phone (730) 260-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140317001066 DC Part B Supplier - Independent Clinical Laboratory 7416058045 Receives reassigned benefits from 1 practitioner
Practice locations: Annandale, VA; Bowie, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1057101Annapath, Inc4801 Tesla Dr Suite H J K L & M, Bowie, MD 20715ComplianceNov 8, 2026
49D1062124Annapath, Inc3299 Woodburn Road - Suite 250, Annandale, VA 22003RegistrationApr 2, 2028

National Provider Directory

National Provider Directory

Locations

588 Bellerive Dr
Ste 1D
Annapolis, MD 21409
Phone (410) 310-2118

4801 Tesla Dr
Ste Hjklm
Bowie, MD 20715
Phone (301) 352-6100

4801 Tesla Dr
Ste H
Bowie, MD 20715
Phone (240) 413-8943

3299 Woodburn Rd
Ste 210
Annandale, VA 22003
Phone (703) 204-0000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1366539595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 TELSA DRIVE",
            "address_2": "SUITE H",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154327",
            "telephone_number": "301-352-6100",
            "fax_number": "301-352-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 TESLA DR STE HJKL&M",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154320",
            "telephone_number": "301-352-6100",
            "fax_number": "301-352-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3299 Woodburn Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220037317",
            "country_code": "US",
            "telephone_number": "730-260-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANNAPATH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "ZWOBOT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "443-223-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.