Organization
MID-ATLANTIC PATHOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA VALLADARES (SENIOR DIRECTOR)
(954) 803-9405
Entity
Organization
Contact information
Practice address
1171 WINDROCK DR, MC LEAN, VA 22102-1547
(703) 404-8189
(703) 404-1131
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 638-2000
(844) 751-9262
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
49D0898222
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006601812
—
VA
05
—
006601839
—
VA
01
—
137554
SOUTHERN HEALTHCARE
VA
01
—
200330
ANTHEM BLUE CROSS
VA
05
—
4109007 00
—
MD
01
—
690007157
RAILROAD MEDICARE
VA
01
—
6902000000KU90
CAREFIRST NATIONAL ACCTS
VA
01
—
B020
CAREFIRST BLUE CROSS DC
VA
01
—
KU90MI
CAREFIRST OF MARYLAND
VA
Enumeration date
11/15/2006
Last updated
04/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us