Organization
MEDSTAR MEDICAL GROUP II LLC
Active
Other names
MMG PATHOLOGY CFNRG
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SCHNEIDER (VP)
(702) 558-1403
Entity
Organization
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(703) 558-1403
Mailing address
2000 15TH ST N STE 600, ARLINGTON, VA 22201-2900
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
246QH0600X
Histology Specialist/Technologist
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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