DERMATOPATHOLOGY LABORATORY OF CENTRAL STATES - MICHIGAN


Address: 1100 Owendale Dr, Suite A, Troy, MI 48083-1914
Phone: 8005925192

DERMATOPATHOLOGY LABORATORY OF CENTRAL STATES - MICHIGAN (NPI# 1538552500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538552500
Entity Type Organization
Organization Name DERMATOPATHOLOGY LABORATORY OF CENTRAL STATES - MICHIGAN
Practice Address 1100 Owendale Dr
Suite A
Troy
MI 48083-1914
Mailing Address 7835 Paragon Rd
Dayton
OH 45459-4021
Practice Telephone 8005925192
Practice Fax Number 2485191047
Mailing Telephone 8005323232
Mailing Fax Number 8008400819
Enumeration Date 2015-03-14
Last Update Date 2015-03-14
Authorized Official Name JOHN J. MACKE (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 9373123826
Is Organization Subpart Y
Parent Organization Name DERMATOPATHOLOGY LABORATORY OF CENTRAL STATES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 1100 OWENDALE DR
SUITE A
City TROY
State MI
Zip Code 48083-1914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154551406 Health Source Home Care Inc Home Health 1100 Owendale Dr, Suite B, Troy, MI 48083-1914 2009-07-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417420449 Thapasvi Muttirevula Physical Therapist 2422 Cedar Knoll Dr, Troy, MI 48083 2019-01-02
1114418290 Ann Katchke Physical Therapist 3179 Livernois Rd, Troy, MI 48083 2018-05-23
1518485945 Risa Rae Mendelson Counselor 1059 Owendale Street, Troy, MI 48083 2017-09-06
1497277115 Gassan Asadi Pharmacist 215 E Big Beaver Rd Ste 500, Troy, MI 48083 2017-07-14
1528510328 Dylan Skye Polasko Behavioral Analyst 2221 E 4th St, #101, Troy, MI 48083 2016-10-27
1235683061 Sadia Ghazi Technician, Other 3178 Daley Dr., Troy, MI 48083 2016-08-10
1548664345 Amber Leigh Ernst Social Worker 1225 E. Big Beaver Road, Troy, MI 48083 2014-10-22
1356782411 Michelle Louise Knoblock Nurse Anesthetist, Certified Registered 1560 E Maple Rd Ste 100, Troy, MI 48083 2013-07-17
1437400728 Oakland Physicians Surgery Center Clinic/Center 1560 E. Maple Road, Suite 100, Troy, MI 48083 2012-09-26
1861748238 Pro Med Substance Abuse Program LLC Psychologist 2891 E. Maple Rd. Suite 200, Troy, MI 48083 2012-08-03
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134757339 Vibra of Southeastern Michigan, LLC Clinical Medical Laboratory 1307-a Allen Drive, Troy, MI 48083-4010 2020-04-01
1598231045 Nationwide Laboratories, LLC Clinical Medical Laboratory 1307 Allen Dr Ste A300, Troy, MI 48083-4000 2018-10-22
1902287279 B3 Diagnostic Laboratory, LLC Clinical Medical Laboratory 1307 Allen Dr Ste A, Troy, MI 48083-4010 2015-06-12
1235400839 Compunet Clinical Laboratories, LLC Clinical Medical Laboratory 3130 N County Road 25a Ste 107, Troy, OH 45373-1337 2012-01-13
1164651618 Western Slope Laboratory LLC Clinical Medical Laboratory 1197 Rochester Rd, Suite K, Troy, MI 48083-6031 2009-07-06
1518149343 Michigan Medical Doctors Pllc Clinical Medical Laboratory 1380 Coolidge, Troy, MD 48084 2007-12-04
1770700353 Newport Pathology Clinical Medical Laboratory 966 Missoula Ave, Troy, MT 59935-9624 2007-04-18
1376592493 Guthrie Medical Group, P.C. Clinical Medical Laboratory 285 Guthrie Dr, Troy, PA 16947-8115 2006-05-08
1629073168 Compunet Clinical Laboratories LLC Clinical Medical Laboratory 1888 W Main St, Troy, OH 45373-2304 2005-06-20
1912513185 Mvp Diagnostic Laboratory LLC Clinical Medical Laboratory 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 2020-09-22
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Competitor

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City TROY
Zip Code 48083

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Dataset Information

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.

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