# POTOMAC PATHOLOGY CONSULTANTS INC

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

## Provider details

- **NPI number:** 1629160858
- **Authorized official:** HERNANDO JIMENEZ (OWNER)
- **Authorized official phone:** (304) 264-1212

## Contact information

- **Practice address:** 2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
- **Practice address phone:** (304) 264-1000
- **Mailing address:** PO BOX 1295, BLUEFIELD, WV 24701-1295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 10129 | WV | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 09/16/2014