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Organization
P4 DIAGNOSTIX LLC
Active
Organization
P4 DIAGNOSTIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SATHISH KOTHANDARAM (PRESIDENT & CEO)
(301) 715-3805
Entity
Organization
Contact information
Practice address
8000 VIRGINIA MANOR RD STE 170, BELTSVILLE, MD 20705-4230
(855) 420-8243
(301) 259-5781
Mailing address
8000 VIRGINIA MANOR RD STE 170, BELTSVILLE, MD 20705-4230
(855) 420-8243
(301) 259-5781
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
05/24/2018
Last updated
03/26/2024
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