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NPI Code Detail

MEDICARE: UNIVERSITY OF MARYLAND PATHOLOGY ASSOCIATES, P.A.

MEDICARE: UNIVERSITY OF MARYLAND PATHOLOGY ASSOCIATES, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1154276079
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF MARYLAND PATHOLOGY ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : PO BOX 64592
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4592
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 GARRETT AVE
Second Line :
City : LA PLATA
State : MD
Zip : 20646-5960
Country : US
Telephone Number : 301-609-4259
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : KAROL ZIMMERMAN
Credential :
Telephone Number : 667-214-1620
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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