NPIMap

Organization Active NPI

Pathology Associates Laboratories, P.C.

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1770575433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
386 Issued in MD
Legal business name
PATHOLOGY ASSOCIATES LABORATORIES, P.C.
Practice address
5601 Loch Raven Blvd
Pob Suite 201
Baltimore, MD 21239-2905
Phone
(410) 581-1200
Fax
(410) 581-1203
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carol J Glusman
Title
Administrator
Phone
(410) 581-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 386 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Pob Suite 201
Baltimore, MD 21239-2905

Mailing address

23 Crossroads Dr
Suite 130
Owings Mills, MD 21117-5420
Phone (410) 581-1200

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
21D0219659Pathology Associates Laboratories PC5601 Loch Raven Blvd Pob Ste 102, Baltimore, MD 21239ComplianceMar 25, 2028

National Provider Directory

National Provider Directory

Locations

5601 Loch Raven Blvd
Ste 201
Baltimore, MD 21239
Phone (410) 581-1200

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": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770575433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR",
            "address_2": "SUITE 130",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175420",
            "telephone_number": "410-581-1200",
            "fax_number": "410-581-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "POB SUITE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-581-1200",
            "fax_number": "410-581-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES LABORATORIES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLUSMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-581-1200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.