Healthcare Provider Details

I. General information

NPI: 1508953753
Provider Name (Legal Business Name): ARMED FORCES INSTITUTE OF PATHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ARMED FORCES INSTITITUTE OF PATHOLOLGY 14TH & ALASKA AVE, NW
WASHINGTON DC
20306-0001
US

IV. Provider business mailing address

ARMED FORCES INSTITITUTE OF PATHOLOLGY 14TH & ALASKA AVE, NW
WASHINGTON DC
20306-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-1602
  • Fax: 202-782-3939
Mailing address:
  • Phone: 202-782-1602
  • Fax: 202-782-3939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291900000X
TaxonomyMilitary Clinical Medical Laboratory
License NumberD0037864
License Number StateMD

VIII. Authorized Official

Name: DR. RENADA B. GREENSPAN
Title or Position: DIRECTOR
Credential: MD
Phone: 202-782-2111