NORTHERN STAR PATHOLOGY P.C. NPI 1063554129

NPI Information

  • NPI: 1063554129
  • Provider Name: NORTHERN STAR PATHOLOGY, P.C.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • Address: 3401 LUDINGTON ST
    ESCANABA, MI
    ZIP 49829
  • Phone: (906) 226-9127

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NPI Details

NORTHERN STAR PATHOLOGY, P.C. is an anatomic pathology and clinical pathology pathology in Escanaba, MI. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. NORTHERN STAR PATHOLOGY, P.C. NPI is 1063554129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3401 LUDINGTON ST
ESCANABA, MI
ZIP 49829-300
Phone: (906) 226-9127

The provider's authorized official is Cary Gottlieb .
The authorized official title is Owner and has the following contact phone number (906) 226-9127.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 3/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology4301406387MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104194270MEDICAIDMICHIGAN
2F41403MEDICARE UPINMICHIGAN
3220520070OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
4DG6507MEDICARE PIN
50N10860001MEDICARE PINMICHIGAN
60N10860MEDICARE PINMICHIGAN
7220028718MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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