Organization
ADVANCED PATHOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS CACCIABEVE MD (PATHOLOGIST)
(240) 826-6000
Entity
Organization
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(240) 364-2515
Mailing address
PO BOX 79906, BALTIMORE, MD 21279-0906
(240) 364-2515
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900102600
—
MD
01
—
CI1446
RAILROAD GRP. #
MD
Enumeration date
06/03/2006
Last updated
08/28/2012
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