Provider Demographics
NPI:1235196593
Name:GENERAL HOSPITAL PATHOLOGISTS LTD
Entity Type:Organization
Organization Name:GENERAL HOSPITAL PATHOLOGISTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT GENERAL HOSPITAL PATHOLO
Authorized Official - Prefix:MR
Authorized Official - First Name:VALERIO
Authorized Official - Middle Name:M
Authorized Official - Last Name:GENTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-395-8000
Mailing Address - Street 1:2876 GUARDIAN LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7327
Mailing Address - Country:US
Mailing Address - Phone:757-463-5240
Mailing Address - Fax:757-463-6572
Practice Address - Street 1:1060 FIRST COLONIAL RD
Practice Address - Street 2:SENTARA VIRGINIA BEACH GENERAL HOSPITAL
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3002
Practice Address - Country:US
Practice Address - Phone:757-395-8000
Practice Address - Fax:757-395-8653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion MedicineGroup - Single Specialty
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathologyGroup - Single Specialty
No207ZM0300XAllopathic & Osteopathic PhysiciansPathologyMedical MicrobiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890165FOtherBLUE CROSS BLUE SHIELD
NC890165FMedicaid
NC890165FOtherBLUE CROSS BLUE SHIELD
NC890165FMedicaid
VAC01342Medicare PIN