# FAIRFAX PATHOLOGY ASSOCIATES, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063438091
- **Authorized official:** JEFFREY SKOVRONSKY (TREASURER)
- **Authorized official phone:** (703) 691-2516

## Contact information

- **Practice address:** 8700 SUDLEY RD, MANASSAS, VA 20110-4418
- **Practice address phone:** (703) 369-8484
- **Mailing address:** PO BOX 221322, CHANTILLY, VA 20153-1322
- **Mailing address phone:** (703) 691-2516
- **Mailing address fax:** (703) 691-3526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 06/16/2008