NPI 1699181669

Platinum Pathology, LLC

Organisation Clinical Medical Laboratory Glen Allen, VA

Practice location

Address: 10128 W Broad St STE H, Glen Allen, VA 23060-6761
Phone: (862) 803-1079
Mailing address: 8000 Virginia Manor Rd STE 170, Beltsville, MD 20705-4230

Authorised official

Name: Sathish Kothandaram
Title: President & Ceo
Phone: (855) 420-8243

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence S4879708 (VA)

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Registry record

NPI: 1699181669
Entity type: Organization
NPI issued: 10 Jul 2014
Record last updated: 27 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.