NPIMap

Organization Active NPI

Pathfinder Diagnostics

  • Anatomic Pathology & Clinical Pathology Physician
  • Warrenton, VA
National Provider Identifier
1962697037
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PATHFINDER DIAGNOSTICS
Practice address
500 Hospital Dr
Warrenton, VA 20186-3027
Phone
(540) 433-3313
Fax
(540) 442-7473
NPI assigned
Sep 11, 2007
Last updated
Mar 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Authorized official

Name
Dr. Lynn H Samuel, M.D.NPI 1013906627
Title
Director of Lab
Phone
(540) 349-0501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X VA Primary

Addresses

Primary practice location

500 Hospital Dr
Warrenton, VA 20186-3027

Mailing address

9834 Business Way
Manassas, VA 20110
Phone (703) 257-1440

Other identifiers 3

IdentifierTypeStateIssuer
6600590MedicaidVA
1962697037OtherVAGROUP NPI
1013906627OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000478 VA Part B Supplier - Clinic/Group Practice 1456425024 Receives reassigned benefits from 4 practitioners
Practice locations: Warrenton, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1962697037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 BUSINESS WAY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-257-1440",
            "fax_number": "703-257-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863027",
            "telephone_number": "540-433-3313",
            "fax_number": "540-442-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF LAB",
        "authorized_official_telephone_number": "540-349-0501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600590",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1962697037",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013906627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.