Organization
PATHFINDER DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN H SAMUEL M.D. (DIRECTOR OF LAB)
(540) 349-0501
Entity
Organization
Contact information
Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 433-3313
(540) 442-7473
Mailing address
9834 BUSINESS WAY, MANASSAS, VA 20110
(703) 257-1440
(703) 257-4337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013906627
NPI
—
01
—
1962697037
GROUP NPI
VA
05
—
6600590
—
VA
Enumeration date
09/11/2007
Last updated
03/29/2014
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