Organization
DANVILLE PATHOLOGISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J HARDY M.D. (PRESIDENT)
(434) 799-3807
Entity
Organization
Contact information
Practice address
212 S MAIN ST, SUITE 4, DANVILLE, VA 24541-2943
(434) 799-8398
(434) 799-1415
Mailing address
212 S MAIN ST, SUITE 4, DANVILLE, VA 24541-2943
(434) 799-8398
(434) 799-1415
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0101017161
VA
291U00000X
Clinical Medical Laboratory
0101017703
VA
291U00000X
Clinical Medical Laboratory
0101030846
VA
291U00000X
Clinical Medical Laboratory
0101055196
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225043821
MEDICARE NPI
VA
01
—
1285640722
MEDIARE NPI
VA
01
—
1326053919
MEDICARE,NPI
VA
01
—
1538151196
MEDICARE NPI
VA
05
—
1538151196
—
VA
01
—
1598953861
MEDICARE,NPI
VA
05
—
6649084
—
VA
05
—
6649168
—
VA
05
—
6649181
—
VA
Enumeration date
08/16/2011
Last updated
08/16/2011
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