Provider Demographics
NPI:1902808140
Name:PATHOLOGY ASSOCIATES OF WASHINGTON PA
Entity type:Organization
Organization Name:PATHOLOGY ASSOCIATES OF WASHINGTON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:SALVATORE
Authorized Official - Last Name:TALAMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-223-7116
Mailing Address - Street 1:PO BOX 536633
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15253-5908
Mailing Address - Country:US
Mailing Address - Phone:724-223-3137
Mailing Address - Fax:724-250-4395
Practice Address - Street 1:155 WILSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3336
Practice Address - Country:US
Practice Address - Phone:724-223-3137
Practice Address - Fax:724-250-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical PathologyGroup - Multi-Specialty
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA034240Medicare PIN