KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1568520070
Pathology - Anatomic Pathology & Clinical Pathology in Fairfax, VA

Q: What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since December 05, 2006

12011 LEE JACKSON HIGHWAY, FAIRFAX, VA 22033(703) 257-3050(703) 257-3042 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC (NPI 1568520070), doing business as Penderbrook Medical Center Laboratory, is a healthcare organization registered as an anatomic pathology & clinical pathology in Fairfax, Virginia and active in the NPI registry since December 2006. The organization lists Colleen E Swinton, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1568520070

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

Location Address12011 LEE JACKSON HIGHWAYFairfax, VA 22033-3310

Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424 · Fax (301) 816-7170

Phone(703) 257-3050

Fax(703) 257-3042

Organization SubpartNo

Authorized OfficialColleen E SwintonCredentialing Director · (301) 257-2797

Enumeration DateDecember 5, 2006

Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1568520070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

12011 LEE JACKSON HIGHWAY, Fairfax, VA 22033

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Other Names 1

Doing Business AsPenderbrook Medical Center Laboratory

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is 1568520070. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Penderbrook Medical Center Laboratory.

Where is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc located?

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is located at 12011 Lee Jackson Highway, Fairfax, VA 22033. The listed phone number is (703) 257-3050.

What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.