Healthcare Provider Details

I. General information

NPI: 1861783227
Provider Name (Legal Business Name): AMERICAN REGISTRY OF PATHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 16TH ST NW
WASHINGTON DC
20306-0003
US

IV. Provider business mailing address

6825 16TH ST NW
WASHINGTON DC
20306-0003
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-2143
  • Fax:
Mailing address:
  • Phone: 202-782-2143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberD0000003
License Number StateMD

VIII. Authorized Official

Name: DR. WILLIAM GARDNER
Title or Position: EXECUTIVE DIRECTOR
Credential: M.D.
Phone: 202-782-2143