Healthcare Provider Details

I. General information

NPI: 1407030547
Provider Name (Legal Business Name): GENERAL HOSPITAL PATHOLOGISTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 12/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 FIRST COLONIAL RD SENTARA VIRGINIA BEACH GENERAL HOSPITAL
VIRGINIA BEACH VA
23454-3002
US

IV. Provider business mailing address

2876 GUARDIAN LN
VIRGINIA BEACH VA
23452-7327
US

V. Phone/Fax

Practice location:
  • Phone: 757-395-8000
  • Fax: 757-395-8653
Mailing address:
  • Phone: 757-463-5040
  • Fax: 757-463-6572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ZM0300X
TaxonomyMedical Microbiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VALERIO M GENTA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 757-395-8000