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Contact Information

MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC
16001 W 9 MILE RD
PROVIDENCE HOSPITAL, DEPARTMENT OF PATHOLOGY
SOUTHFIELD, MI48075-4818
 Phone: 248-849-5401
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
 

Hematology

207ZH0000X 22 Physician/Pathology
 

Immunopathology

207ZI0100X 22 Physician/Pathology
 

Medical Microbiology

207ZM0300X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC

NPI Number 1578734281
LBN Legal business name MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC
Authorized official JUANITA EVANS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2008
Last updated 02/19/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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