BLUEWATER PATHOLOGY PC NPI 1528155793

NPI Information

  • NPI: 1528155793
  • Provider Name: BLUEWATER PATHOLOGY PC
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • Address: 1221 PINE GROVE AVE
    PORT HURON, MI
    ZIP 48060
  • Phone: (810) 989-3270

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NPI Details

BLUEWATER PATHOLOGY PC is an anatomic pathology and clinical pathology pathology in Port Huron, 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. BLUEWATER PATHOLOGY PC NPI is 1528155793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1221 PINE GROVE AVE
PORT HURON, MI
ZIP 48060-511
Phone: (810) 989-3270

The provider's authorized official is Richard T Anderson .
The authorized official title is President and has the following contact phone number (810) 989-3270.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/22/2020.

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 PathologyYes

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
11541762OTHERMICHIGANUNITED MINEWORKERS
2104673OTHERMICHIGANPREFERRED CHOICES
3104673OTHERMICHIGANCARE CHOICES
434155OTHERMICHIGANCOMMUNITY CHOICE OF MI
51008856 0001OTHERMICHIGANTHE WELLNESS PLAN
6CH5571OTHERMICHIGANRAILROAD MEDICARE
7XX32047OTHERMICHIGANHEALTHPLUS OF MI
8027930OTHERMICHIGANMIDWEST HEALTH PLAN
90G46251OTHERMICHIGANBLUE CROSS BLUE SHIELD

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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