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Organization
MEDSTAR MEDICAL GROUP II LLC
Active
Organization
MEDSTAR MEDICAL GROUP II LLC
Active
Other names
MMG PATHOLOGY CFNRG
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SCHNEIDER (VP)
(702) 558-1403
Entity
Organization
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(703) 558-1403
Mailing address
2000 15TH ST N STE 600, ARLINGTON, VA 22201-2900
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
246QH0600X
Histology Specialist/Technologist
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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