National Provider Identifier Database

PATHOLOGYSERVICESORG LLC
Medical Laboratory

Contact Information

PATHOLOGYSERVICES.ORG LLC
1465 E PARKDALE AVE
PATHOLOGY SERVICES.ORG LLC ATTN LISA WORLEY
MANISTEE, MI  49660
Phone: 231-590-5030
Fax: 231-889-8969
Website:
Specialty Taxonomy Code
* Medical Laboratory 246RM2200X
Blood Banking 246QB0000X
Cytotechnology 246QC2700X
Histology 246QH0600X
Laboratory Management 246QL0900X
Specialist/Technologist, Pathology 246Q00000X
Technician, Pathology 246R00000X

* Indicates primary specialty

NPI Profile & details for PATHOLOGYSERVICES.ORG LLC

NPI Number 1972651818
Legal business name
LBN		 PATHOLOGYSERVICES.ORG LLC
Authorized official LISA WORLEY - (CYTOTECHNOLOGIST PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/08/2007
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: CLM089
  • MI License #: 4301051173
  • MI License #: 4301051173 MD
  • MI Other: 71020000E1 1500 BCBS OF MICH FEDERAL
  • MI Other: 162381523463 HUMMANA
  • MI Other: 303702 TENCON

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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