MID-ATLANTIC PATHOLOGY SERVICES INC. NPI 1245302009

NPI Information

  • NPI: 1245302009
  • Provider Name: MID-ATLANTIC PATHOLOGY SERVICES, INC.
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • CLIA Number: 49D0898222
  • Address: 405 GLENN DR
    SUITE 10-A
    STERLING, VA
    ZIP 20164
  • Phone: (703) 404-8189

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NPI Details

MID-ATLANTIC PATHOLOGY SERVICES, INC. is a clinical medical laboratory in Sterling, VA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. MID-ATLANTIC PATHOLOGY SERVICES, INC. NPI is 1245302009. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

405 GLENN DR
SUITE 10-A
STERLING, VA
ZIP 20164-119
Phone: (703) 404-8189
Fax: (703) 404-1131

The provider's authorized official is Michael C. Grattendick .
The authorized official title is Vice President and has the following contact phone number (561) 626-5512.

The CLIA number assigned to this NPI record is 49D0898222 - independent with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
  • Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
  • Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Surgical pathology consultation and report on referred material requiring preparation of slides (HCPCS:88323)

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
2291U00000XClinical Medical Laboratory49D0898222VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B020OTHERVIRGINIACAREFIRST BLUE CROSS DC
24109007 00MEDICAIDMARYLAND
3006601812MEDICAIDVIRGINIA
4200330OTHERVIRGINIAANTHEM BLUE CROSS
56902000000KU90OTHERVIRGINIACAREFIRST NATIONAL ACCTS
6KU90MIOTHERVIRGINIACAREFIRST OF MARYLAND
7137554OTHERVIRGINIASOUTHERN HEALTHCARE
8006601839MEDICAIDVIRGINIA
9690007157OTHERVIRGINIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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