PATHOLOGY SERVICES OF SOUTHWEST VIRGINIA PC (NPI# 1851385892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851385892 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY SERVICES OF SOUTHWEST VIRGINIA PC |
| Practice Address |
3700 S Main St Blacksburg VA 24060-7017 |
| Mailing Address |
Po Box 10776 Blacksburg VA 24062-0776 |
| Practice Telephone | 5409535465 |
| Practice Fax Number | 5409535274 |
| Mailing Telephone | 5407672700 |
| Mailing Fax Number | 5407672708 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MIGUEL LANGEBECK (PRESIDENT) |
| Authorized Official Telephone | 5409535465 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SOUTHERN HEALTH | 115189 | 01 | |
| WV | 4000381000 | 05 | |
| RAILROAD MEDICARE | CG3681 | 01 |
| Street Address |
3700 S MAIN ST |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077128 | River Valley Pathology, Inc. | Pathology | 3700 S Main St, Blacksburg, VA 24060-7017 | 2005-07-18 |
| 1679100481 | Christopher M George | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-24 |
| 1285261776 | Deborah Lynn Enns | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-24 |
| 1053947960 | Jake Daniel Norris | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-23 |
| 1154958031 | Luke Godwin | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-23 |
| 1316574296 | Angel Manuel Vigo | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-23 |
| 1083240956 | Dennis K Adaaquah | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-23 |
| 1720614670 | Toni Young | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-22 |
| 1144856097 | Cameron Michael Ross | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-22 |
| 1306472303 | Marika Adrienne Pitot | Student in an Organized Health Care Education/Training Program | 3700 S Main St, Blacksburg, VA 24060-7017 | 2020-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| 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 |
|---|---|---|---|---|
| 1629077128 | River Valley Pathology, Inc. | Pathology | 3700 S Main St, Blacksburg, VA 24060-7017 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952821308 | Patricija Zot | Pathology | 1250 E Marshall St # 980662, Richmond, VA 23298-5051 | 2017-06-26 |
| 1508248949 | Rajeswari Jayakumar | Pathology | 403 N. 13th Street, Csc, Richmond, VA 23298 | 2015-06-22 |
| 1891192209 | Pepper Path LLC | Pathology | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1629481700 | David Phillip Lebel II | Pathology | 1 Riverside Cir Ste 105, Roanoke, VA 24016-4961 | 2014-06-06 |
| 1710304761 | Sara Ali Mustafa | Pathology | 3289 Woodburn Rd Ste 220, Annandale, VA 22003-7313 | 2014-03-27 |
| 1215376959 | Angela Yu-jye Wu | Pathology | 1215 Lee Street - Box Number 800214, Charlottesville, VA 22908-0001 | 2013-06-16 |
| 1043529365 | Alden W Dudley Jr. | Pathology | 5909 Winnbrook Dr, Roanoke, VA 24018-7903 | 2010-10-04 |
| 1649582412 | Vasavi Kaliki | Pathology | 4505 Yorkminster Dr, Glen Allen, VA 23060-6157 | 2010-07-09 |
| 1063737146 | William F. Enos, M.d., Pllc | Pathology | 10300 Spotsylvania Avenue, Suite 130, Fredericksburg, VA 22408 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.