Provider Demographics
NPI:1386757052
Name:FAUQUIER PATHOLOGY
Entity type:Organization
Organization Name:FAUQUIER PATHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORLANDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-347-2550
Mailing Address - Street 1:5290 AMBLER DR
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20187-9201
Mailing Address - Country:US
Mailing Address - Phone:540-347-2550
Mailing Address - Fax:
Practice Address - Street 1:731 EAST MARKET STREET
Practice Address - Street 2:SUITE C
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-433-3313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025334207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6600522Medicaid
VA6600590Medicaid
VA1386757052OtherNPI GROUP
VA6647545Medicaid
VAE92909Medicare UPIN
C02954Medicare ID - Type Unspecified
VA6647545Medicaid
VA6600522Medicaid