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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PLATINUM PATHOLOGY, LLC
NPI 1699181669
Clinical Medical Laboratory in Glen Allen, VA

Active since July 10, 2014CLIA 49D2080543 · Accreditation
10128 W BROAD ST STE H, GLEN ALLEN, VA 23060(862) 803-1079 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Platinum Pathology, Llc NPPES

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

PLATINUM PATHOLOGY, LLC (NPI 1699181669) is a healthcare organization registered as a clinical medical laboratory in Glen Allen, Virginia and active in the NPI registry since July 2014. The organization holds an CLIA Accreditation certificate valid through July 25, 2027 and lists Sathish Kothandaram, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1699181669
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePLATINUM PATHOLOGY, LLC
Location Address10128 W BROAD ST STE HGlen Allen, VA 23060-6761
Mailing Address8000 Virginia Manor Rd Ste 170Beltsville, MD 20705-4230 · (862) 298-5960 · Fax (301) 259-5781
Phone(862) 803-1079
Organization SubpartNo
Authorized OfficialSathish KothandaramPresident & Ceo · (855) 420-8243
Enumeration DateJuly 10, 2014
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1699181669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in VA · S4879708
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
10128 W BROAD ST STE H, Glen Allen, VA 23060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 49D2080543

Platinum Pathology, LLC · Glen Allen, VA
Active · expires Jul 25, 2027
CLIA Number49D2080543
Laboratory TypeIndependent
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorDr. Adnan Siddiqui
Laboratory Phone(877) 744-7781
Laboratory LocationPlatinum Pathology, LLC10128 West Broad Street, Suite H, Glen Allen, VA 23060
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,975 services652 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
1,517 services1,242 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
769 services263 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
485 services483 patients
Cell examination of urine, manual 88120
A cell examination of urine, manually done, is a lab test where your urine is studied under a microscope. This helps identify any abnormal cells or substances in your urine, like bacteria or crystals, that could indicate health issues. It's a simple, non-invasive procedure.
457 services342 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
95 services90 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

METIRRA PATHOLOGY PC
Pathology (Clinical Pathology)
10128 W BROAD ST STE H
GLEN ALLEN, VA 23060
Henrico County (949) 616-2809

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 Platinum Pathology, LLC's NPI number?

The NPI number for Platinum Pathology, LLC is 1699181669. It was assigned to this organization in the NPPES registry on July 10, 2014.

Where is Platinum Pathology, LLC located?

Platinum Pathology, LLC is located at 10128 W Broad St Ste H, Glen Allen, VA 23060. The listed phone number is (862) 803-1079.

What is Platinum Pathology, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Platinum Pathology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 49D2080543) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Platinum Pathology, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Platinum Pathology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Platinum Pathology, LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.