AMERIPATH INSTITUTE OF UROLOGICAL PATHOLOGY PC (NPI# 1225000201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225000201 |
| Entity Type | Organization |
| Organization Name | AMERIPATH INSTITUTE OF UROLOGICAL PATHOLOGY PC |
| Practice Address |
27472 Schoenherr Rd Suite 100 Warren MI 48088-6688 |
| Mailing Address |
7111 Fairway Dr Suite 400 Palm Beach Gardens FL 33418-4207 |
| Practice Telephone | 5867745819 |
| Practice Fax Number | 5867745869 |
| Mailing Telephone | 5617126265 |
| Mailing Fax Number | 5617127349 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2012-03-19 |
| NPI Deactivation Date | 01/04/2011 |
| NPI Reactivation Date | 2012-03-19 |
| Authorized Official Name | MR. MICHEL H GREENE (VP) |
| Authorized Official Telephone | 2149328270 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIPATH INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 23D1024436 | MI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC/BS OF MICHIGAN | 0E01779 | 01 |
| MI | 4727299 | 05 | |
| SC | L00236 | 05 |
| Street Address |
27472 SCHOENHERR RD SUITE 100 |
| City | WARREN |
| State | MI |
| Zip Code | 48088-6688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205382223 | Crystal Langholff | Physical Therapist | 27472 Schoenherr Rd, Warren, MI 48088-6688 | 2016-08-30 |
| 1588037824 | Mia Houston | Physical Therapy Assistant | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2015-11-09 |
| 1346613627 | Ian Zaporski | Physical Therapy Assistant | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2015-11-09 |
| 1881087963 | Mendelson Orthopedics PC | Durable Medical Equipment & Medical Supplies | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2015-03-12 |
| 1376978809 | Caitlin Mary Rogers | Physician Assistant | 27472 Schoenherr Rd, Warren, MI 48088-6688 | 2013-09-03 |
| 1255672879 | Samantha J Burgess | Physical Therapist | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2013-03-06 |
| 1366786717 | William George Bellomo II | Physical Therapy Assistant | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2012-11-23 |
| 1811231715 | Advanced Breast Care Center | Surgery | 27472 Schoenherr Rd, Suite #108, Warren, MI 48088-6688 | 2012-11-15 |
| 1982968418 | Ashley L Boebinger | Occupational Therapist | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2012-06-29 |
| 1851667208 | Anthony L Badia | Physical Therapy Assistant | 27472 Schoenherr Rd, Warren, MI 48088-6688 | 2012-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
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| 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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| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
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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.