Maryland Pathology Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MARYLAND PATHOLOGY SERVICES

Practice address

182 Thomas Johnson Dr
Suite 204
Frederick, MD 21702-4407

Phone

(301) 698-8711

Fax

(301) 698-9122

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Hoda Fouad Gabriel, M.D.

Title

Lab Director

Phone

(301) 698-8711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1649459892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 204",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-698-8711",
            "fax_number": "301-698-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 THOMAS JOHNSON DR",
            "address_2": "SUITE 204",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024407",
            "telephone_number": "301-698-8711",
            "fax_number": "301-698-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "HODA",
        "authorized_official_middle_name": "FOUAD",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "301-698-8711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.