Organization
WASHINGTON PATHOLOGY SERVICES., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER T OCAMPO M.D (PRESIDENT)
(703) 255-5504
Entity
Organization
Contact information
Practice address
360 MAPLE AVE W, SUITE F, VIENNA, VA 22180-5614
(703) 255-5504
(703) 255-5507
Mailing address
200 LAWYERS RD, N.W, #1455, VIENNA, VA 22183-8071
(703) 255-5504
(703) 255-5507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0101030967
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1491
CAREFIRST
—
01
—
201793
ANTHEM
VA
01
—
W1H12
EMPIRE BLUE CROSS
—
01
—
W431
CAREFIRST
MD
Enumeration date
02/09/2007
Last updated
03/15/2013
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