Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
KPC Diagnostics
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MARY BETH TAMASY (CEO)
(703) 737-6010
Entity
Organization
Contact information
Practice address
4445 WILLARD AVENUE, SUITE 200, CHEVY CHASE, MD 20815-3690
(703) 372-0787
(703) 712-7169
Mailing address
224-D CORNWALL ST., NW SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
08/18/2023
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