Healthcare Provider Details

I. General information

NPI: 1437179769
Provider Name (Legal Business Name): ONCO DIAGNOSTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 OLD GEORGETOWN ROAD SUITE 206
BETHESDA MD
20814
US

IV. Provider business mailing address

10401 OLD GEORGETOWN ROAD SUITE 206
BETHESDA MD
20814
US

V. Phone/Fax

Practice location:
  • Phone: 301-530-5511
  • Fax: 301-564-5748
Mailing address:
  • Phone: 301-530-5511
  • Fax: 301-564-5748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number560
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number560
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207ZM0300X
TaxonomyMedical Microbiology Physician
License Number560
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number560
License Number StateMD

VIII. Authorized Official

Name: MRS. NANCY K ROGOWSKI
Title or Position: PRESIDENT
Credential:
Phone: 301-530-5511