P4 DIAGNOSTIX LLC (NPI# 1518458660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518458660 |
| Entity Type | Organization |
| Organization Name | P4 DIAGNOSTIX LLC |
| Practice Address |
8000 Virginia Manor Rd Ste 170 Beltsville MD 20705-4230 |
| Practice Telephone | 8554208243 |
| Practice Fax Number | 3012595781 |
| Mailing Telephone | 8554208243 |
| Mailing Fax Number | 3012595781 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | MR. SATHISH KOTHANDARAM (PRESIDENT & CEO) |
| Authorized Official Telephone | 3017153805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10-2 Technology Drive, Unit 2, East Setauket, NY 11730 | 8554208243 | 3012595781 |
| 10128 W Broad St Ste H, Glen Allen, VA 230606761 | 8554208243 | 3012595781 |
| 1912 Tw Alexander Dr Rm 243250, Durham, NC 277090150 | 8554208243 | 3012595781 |
| 25 Riverside Dr, Pine Brook, NJ 070589391 | 8554208243 | 3012595781 |
| 985 Broad St Ste A, Augusta, GA 309011286 | 8554208243 | 3012595781 |
| Street Address |
8000 VIRGINIA MANOR RD STE 170 |
| City | BELTSVILLE |
| State | MD |
| Zip Code | 20705-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325301 | P4 Pathology P C | Pathology | 8000 Virginia Manor Rd Ste 170, Beltsville, MD 20705-4230 | 2017-09-18 |
| 1992215081 | P4 Physicians PC | Psychologist | 8000 Virginia Manor Rd Ste 170, Beltsville, MD 20705-4230 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1306454129 | Anastasi Ward | Technician | 4009 Lakehouse Road, Beltsville, MD 20705 | 2020-07-17 |
| 1750942512 | City Access LLC | Pharmacy | 11466 Cherry Hill Road, Silver Spring, MD 20705 | 2019-06-24 |
| 1972089225 | Emily Hemphill | Behavior Technician | 3917 Howard Rd, Beltsville, MD 20705 | 2018-07-18 |
| 1457841629 | Vijayalakshmi Jesson Dds PC | Dentist | 10820 Rhode Island Ave Ste A, Beltsville, MD 20705 | 2018-05-14 |
| 1942704465 | Ana Lisette Cordon | Behavior Technician | 12603 Bear Creek Ter, Beltsville, MD 20705 | 2018-03-20 |
| 1841718608 | Premier Health Care LLC | Psychiatry & Neurology | 4600 Powder Mill Rd Ste Z1, Beltsville, MD 20705 | 2017-08-31 |
| 1104357094 | Byron Adams | Social Worker | 12050 Baltimore Avenue, Beltsville, MD 20705 | 2017-03-23 |
| 1598213936 | Suita Healthcare Services | Home Health | 4517 Sellman Road, Suit G, Beltsville, MD 20705 | 2016-09-14 |
| 1578910246 | Kadiatu Turay | Technician | 11457 Cherry Hiill Rd #303, Beltsville, MD 20705 | 2016-05-23 |
| Find all providers in zip 20705 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325301 | P4 Pathology P C | Pathology | 8000 Virginia Manor Rd Ste 170, Beltsville, MD 20705-4230 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245642511 | Yang Zhang | Pathology | 401 N Broadway St Ste 2242, Baltimore, MD 21287 | 2014-05-21 |
| 1730422973 | Lynette Alise Khan Parker | Pathology | 4301 Jones Bridge Rd Bldg B3102, Bethesda, MD 20814-4799 | 2013-04-05 |
| 1720321375 | Alexander Albert Berrebi | Pathology | 1725 S Hanover St, Baltimore, MD 21230-4813 | 2013-04-02 |
| 1164780367 | James Lyman Hall | Pathology | 11203 Neelsville Church Rd, Germantown, MD 20876-4130 | 2012-04-25 |
| 1881950475 | Kevin Michael Waters | Pathology | 600 N Wolfe St Pathology, Baltimore, MD 21287-0001 | 2012-04-09 |
| 1750647988 | Feriyl Bhaijee | Pathology | 10208 Hickory Ridge Rd, Apt. 104, Columbia, MD 21044-4686 | 2012-04-02 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| 1780975821 | Leroy Benjamin Buckler | Pathology | 1270 Old Madison Rd, Madison, MD 21648-1102 | 2011-04-24 |
| 1356653653 | Deepty Bhansali | Pathology | 10218 Shining Willow Dr, Rockville, MD 20850-5462 | 2010-07-02 |
| 1386963643 | Carolyn Lingeman | Pathology | 5914 Johnson Ave, Bethesda, MD 20817-3433 | 2010-05-26 |
| Find all providers with the same taxonomy | ||||
| City | BELTSVILLE |
| Zip Code | 20705 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.