Healthcare Provider Details
I. General information
NPI: 1992659627
Provider Name (Legal Business Name): UNIVERSITY OF MARYLAND PATHOLOGY ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 KERNAN DR
BALTIMORE MD
21207-6665
US
IV. Provider business mailing address
PO BOX 64592
BALTIMORE MD
21264-4592
US
V. Phone/Fax
- Phone: 667-214-1444
- Fax: 410-328-0929
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAROL
ZIMMERMAN
Title or Position: DIRECTOR
Credential:
Phone: 667-214-1620