COVENANT PATHOLOGY ASSOCIATES PC NPI 1124779061

NPI Information

NPI: 1124779061
Provider Name: COVENANT PATHOLOGY ASSOCIATES, PC
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
CLIA Number: 23D0872190
Address: 4707 MCLEOD DR E
SAGINAW, MI
ZIP 48604
Phone: (989) 341-5078

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NPI Details

COVENANT PATHOLOGY ASSOCIATES, PC is a diagnostic radiology radiology in Saginaw, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. COVENANT PATHOLOGY ASSOCIATES, PC NPI is 1124779061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4707 MCLEOD DR E
SAGINAW, MI
ZIP 48604-853
Phone: (989) 341-5078

The provider's authorized official is David L. Stockman .
The authorized official title is President and has the following contact phone number (989) 459-2300.

The CLIA number assigned to this NPI record is 23D0872190 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2022.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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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