Provider Type Icon

JACKSON PATHOLOGY ASSOCIATES PC NPI 1548322464


NPI Information

NPI: 1548322464
Provider Name: JACKSON PATHOLOGY ASSOCIATES, PC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 788-4951
Get Directions

JACKSON PATHOLOGY ASSOCIATES, PC is an anatomic pathology and clinical pathology pathology in Jackson, 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. JACKSON PATHOLOGY ASSOCIATES, PC NPI is 1548322464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (517) 788-4951

The provider's authorized official is Richard Dieterle .
The authorized official title is President and has the following contact phone number (517) 788-4951.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 4/20/2008.


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 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
1128395OTHERMICHIGANSELECTCARE
2LP380001OTHERMICHIGANM-CARE
3M011703OTHERMICHIGANUNITED MINE WORKERS
4029604OTHERMICHIGANMIDWEST HEALTH PLAN
51006045OTHERMICHIGANINGHAM HEALTH PLAN
6104757OTHERMICHIGANPREFERRED CHOICES
7XX05469OTHERMICHIGANHEALTHPLUS OF MI
80C86006OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
91006045OTHERMICHIGANJACKSON COUNTY HEALTHPLAN
10CN1205OTHERMICHIGANRAILROAD MEDICARE
1113484880OTHERMICHIGANUS DEPT OF LABOR WORKCOMP
12=========050OTHERMICHIGANCOMMUNITY CHOICE OF MI
1337102OTHERMICHIGANCOMMUNITY CHOICE OF MI
140C86006MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.