Organization
VIRGINIA PATHOLOGY SVCS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY GREISS ROUSHDY MD (DR PRESIDENT)
(703) 256-2962
Entity
Organization
Contact information
Practice address
6121 LINCOLNIA RD, SUITE 108, ALEXANDRIA, VA 22312
(703) 256-2962
(703) 256-3608
Mailing address
6121 LINCOLNIA RD, SUITE 108, ALEXANDRIA, VA 22312
(703) 256-2962
(703) 256-3608
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
0101033048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284543
ANTHEM
—
01
—
6365
BCBS
DC
05
—
6605435
—
VA
01
—
92412
NCPPO
—
01
—
9845919
CIGNA
—
01
—
OR66MG
BC-BS
MD
Enumeration date
11/06/2006
Last updated
08/22/2020
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