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NPI Code Detail

MEDICARE: PATHOLOGY ASSOCIATES OF SOUTHWESTERN VIRGINIA INC

MEDICARE: PATHOLOGY ASSOCIATES OF SOUTHWESTERN VIRGINIA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CA9002OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093718587
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHOLOGY ASSOCIATES OF SOUTHWESTERN VIRGINIA INC
Provider Business Mailing Address
First Line : PO BOX 6446
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24068-6446
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 HOSPITAL DR
Second Line :
City : GALAX
State : VA
Zip : 24333-2227
Country : US
Telephone Number : 276-236-1690
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : JAMIE LYNN CARLO-DEMOVICH
Credential : MD
Telephone Number : 276-236-1690
Provider Enumeration Date : 05/27/2005
Last Update Date : 05/01/2013

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Directions to “PATHOLOGY ASSOCIATES OF SOUTHWESTERN VIRGINIA INC ” Practice Location

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