PATHOLOGY SERVICES.ORG LLC (NPI# 1336255538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336255538 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY SERVICES.ORG LLC |
| Practice Address |
1465 E Parkdale Ave Cytopathology/independent Laboratory Manistee MI 49660-0070 |
| Mailing Address |
Po Box 70 Att'n Lisa Worley Manistee MI 49660-0070 |
| Practice Telephone | 2315905030 |
| Practice Fax Number | 2318895969 |
| Mailing Telephone | 2315905030 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-04-28 |
| Authorized Official Name | MS. LISA WORLEY (LIMITED MEMBER/SOLE OWNER) |
| Authorized Official Telephone | 2315905030 |
| Authorized Official Credential | CT,ASCP,IAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246R00000X | Technician, Pathology | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 291U00000X | Clinical Medical Laboratory | 23D0981736 | MI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELDPPO | 0E11500 | 01 |
| MI | BCBS OF MICHIGAN | 71020000E11500 | 01 |
| MI | 4280673 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750660478 | Pathology Services.org LLC | Clinical Medical Laboratory | 2025 S Washington Ave, Suite 202, Lansing, MI 48910-0828 | 2011-08-11 |
| Street Address |
1465 E PARKDALE AVE CYTOPATHOLOGY/INDEPENDENT LABORATORY |
| City | MANISTEE |
| State | MI |
| Zip Code | 49660-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709412 | John Raymond Md PC | Radiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2006-06-15 |
| 1922621762 | Lisa Marie Shoemaker | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2020-05-27 |
| 1639715873 | Madison Marie Wisneski | Physician Assistant | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-11-22 |
| 1053874792 | Jesse Leah Keson | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-04-10 |
| 1477030476 | Ecs Lakeshore PC | Anesthesiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-07-23 |
| 1265934673 | Sally Elizabeth Somsel | Physical Therapist | 1465 E Parkdale Ave, Manistee, MI 49660 | 2018-03-01 |
| 1871094466 | Lauren Elizabeth Welsh | Physical Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-28 |
| 1518468669 | Annette Sue Hart | Occupational Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-23 |
| 1861993917 | Kristen King | Occupational Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-23 |
| 1043731979 | Benjamin S Long | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2017-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192306 | Margaret R Batzer | Acupuncturist | 352 1st St, Manistee, MI 49660 | 2018-07-30 |
| 1821590373 | Esther Sigurdardottir | Physical Therapist | 1465 E. Parkdale Av, Manistee, MI 49660 | 2018-03-01 |
| 1104328657 | Bryan Keith Kidd | Physical Therapist | 1465 Parkdale Avenue, Manistee, MI 49660 | 2018-03-01 |
| 1790153799 | Deborah Ann Brandt | Registered Nurse | 318 River Street, Friends Who Care, Manistee, MI 49660 | 2015-09-08 |
| 1265811624 | Joyce Eileen Copeland | Assisted Living Facility | 3644 Chippewa Hwy, Manistee, MI 49660 | 2015-05-19 |
| 1275927931 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 16 Caberfae Hwy, Manistee, MI 49660 | 2015-03-20 |
| 1518244912 | Mara Lane Mckinley | Nurse Practitioner | 1465 E. Parkdale Ave3., Manistee, MICHIGAN 49660 | 2011-11-14 |
| 1477749406 | Catherine Imelda Oertel | Social Worker | 2198 Us 31 South, Manistee, MI 49660 | 2007-09-24 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1144364381 | Layne Christopher Godzina | Dentist | 422 First Street, Manistee, MI 49660 | 2007-02-19 |
| Find all providers in zip 49660 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.