PATHOLOGYSERVICES.ORG LLC (NPI# 1972651818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972651818 |
| Entity Type | Organization |
| Organization Name | PATHOLOGYSERVICES.ORG LLC |
| Practice Address |
1465 E Parkdale Ave Pathology Services.org LLC Attn Lisa Worley Manistee MI 49660 |
| Mailing Address |
Dept 77225 Pathology Services Org LLC Po Box 77000 Detroit MI 48277-0225 |
| Practice Telephone | 2315905030 |
| Practice Fax Number | 2318898969 |
| Mailing Telephone | 2315905030 |
| Mailing Fax Number | 2318895969 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MS. LISA WORLEY (CYTOTECHNOLOGIST PRESIDENT) |
| Authorized Official Telephone | 2315905030 |
| Authorized Official Credential | CT,IAC,ASCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246Q00000X | Spec/Tech, Pathology | 4301051173 MD | MI | Technologists, Technicians & Other Technical Service Providers |
| N | 246QB0000X |
Spec/Tech, Pathology Specialization: Blood Banking |
4301051173 | MI | Technologists, Technicians & Other Technical Service Providers |
| N | 246QC2700X |
Spec/Tech, Pathology Specialization: Cytotechnology |
CLM089 | CA | Technologists, Technicians & Other Technical Service Providers |
| N | 246QH0600X |
Spec/Tech, Pathology Specialization: Histology |
4301051173 MD | MI | Technologists, Technicians & Other Technical Service Providers |
| N | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
4301051173 MD | MI | Technologists, Technicians & Other Technical Service Providers |
| N | 246QC2700X |
Spec/Tech, Pathology Specialization: Cytotechnology |
MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 246QH0600X |
Spec/Tech, Pathology Specialization: Histology |
MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 246QL0900X |
Spec/Tech, Pathology Specialization: Laboratory Management |
MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 246R00000X | Technician, Pathology | MI | Technologists, Technicians & Other Technical Service Providers | |
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
MI | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MICH FEDERAL | 71020000E1 1500 | 01 |
| MI | TENCON | 303702 | 01 |
| MI | HUMMANA | 162381523463 | 01 |
| Street Address |
1465 E PARKDALE AVE PATHOLOGY SERVICES.ORG LLC ATTN LISA WORLEY |
| City | MANISTEE |
| State | MI |
| Zip Code | 49660 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497948582 | Larry D. Striler | Technician, Pathology | 6034 W 5 Mile Rd, Grayling, MI 49738-8071 | 2007-08-22 |
| 1649460429 | Patrick Dale Zarucki | Technician, Pathology | 2356 Kipling Dr, Sterling Heights, MI 48310-2331 | 2007-07-27 |
| 1437524238 | Vivian Jamison | Technician, Pathology | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2015-12-04 |
Please comment or provide details below to improve the information on PATHOLOGYSERVICES.ORG LLC.
| 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.