Healthcare Provider Details

I. General information

NPI: 1154276079
Provider Name (Legal Business Name): UNIVERSITY OF MARYLAND PATHOLOGY ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 GARRETT AVE
LA PLATA MD
20646-5960
US

IV. Provider business mailing address

PO BOX 64592
BALTIMORE MD
21264-4592
US

V. Phone/Fax

Practice location:
  • Phone: 301-609-4259
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KAROL ZIMMERMAN
Title or Position: DIRECTOR
Credential:
Phone: 667-214-1620