Provider Demographics
NPI:1366539595
Name:ANNAPATH, INC
Entity type:Organization
Organization Name:ANNAPATH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZWOBOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-223-4900
Mailing Address - Street 1:4801 TELSA DRIVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4327
Mailing Address - Country:US
Mailing Address - Phone:301-352-6100
Mailing Address - Fax:301-352-6300
Practice Address - Street 1:4801 TESLA DR STE HJKL&M
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4320
Practice Address - Country:US
Practice Address - Phone:301-352-6100
Practice Address - Fax:301-352-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory