Dominion Pathology Laboratories PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DOMINION PATHOLOGY LABORATORIES PC

Practice address

733 Boush St
Suite 200
Norfolk, VA 23510-1501

Phone

(757) 664-7901

Fax

(757) 664-9122

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Frazier Jr., M.D.NPI 1659329902

Title

President

Phone

(757) 664-7901

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Robert Anthony Frazier Jr., M.D.

  • Dermatopathology (Pathology) Physician
  • Norfolk, VA
  • NPI 1659329902
  NPD (past) Authorized official
• Kevaghn P. Fair, D.O.

  • Dermatopathology (Pathology) Physician
  • Norfolk, VA
  • NPI 1285694042
  NPD (past)
• Jean Dobson Kemp, M.D.

  • Dermatopathology (Pathology) Physician
  • Norfolk, VA
  • NPI 1811059983
  NPD (past)
• Michael Thomas Ryan, D.O.

  • Dermatopathology (Pathology) Physician
  • Norfolk, VA
  • NPI 1598739583
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1740227115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2453",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235012453",
            "telephone_number": "757-664-7901",
            "fax_number": "757-664-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 BOUSH ST",
            "address_2": "SUITE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101501",
            "telephone_number": "757-664-7901",
            "fax_number": "757-664-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION PATHOLOGY LABORATORIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-664-7901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004991427",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "288617",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Doherty
• Chien Chun Doll, FNP-C
• Joshua Dolsen, MD
• Dominion Eye Care PLLC
• Dominion Medical Supplies
• Illy Dominitz, M.D.
• Meaghan Dominy, MD
• Arina Aleksandroyna Donahue, NP
• David Alan Donahue, IDC
• Lauren Katherine Donahue, M.D.

• Clinical Medical Laboratory in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.