Provider Demographics
NPI:1164312914
Name:J AND M PATERNITY SERVICE
Entity type:Organization
Organization Name:J AND M PATERNITY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERT SWAB TECH
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLYTHE
Authorized Official - Suffix:
Authorized Official - Credentials:CERT PHLEBOTOMIST
Authorized Official - Phone:703-568-0755
Mailing Address - Street 1:14502 GREENVIEW DR STE 500-1045
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3287
Mailing Address - Country:US
Mailing Address - Phone:703-568-0755
Mailing Address - Fax:240-956-5100
Practice Address - Street 1:14502 GREENVIEW DR STE 500-1045
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3287
Practice Address - Country:US
Practice Address - Phone:703-568-0755
Practice Address - Fax:240-956-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy