Provider Demographics
NPI:1598863821
Name:PATHOLOGY CONSULTANTS OF CENTRAL VA, INC
Entity Type:Organization
Organization Name:PATHOLOGY CONSULTANTS OF CENTRAL VA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:BIESEMIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-947-3925
Mailing Address - Street 1:1905 ATHERHOLT RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1103
Mailing Address - Country:US
Mailing Address - Phone:434-947-3925
Mailing Address - Fax:434-947-3927
Practice Address - Street 1:1905 ATHERHOLT RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1103
Practice Address - Country:US
Practice Address - Phone:434-947-3925
Practice Address - Fax:434-947-3927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory