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 | 310400000X | Assisted Living Facility | | AS820380700 | MICHIGAN | No |
| 2 | 246QL0900X | Specialist/Technologist, Pathology | Laboratory Management | | MICHIGAN | No |
| 3 | 246RM2200X | Technician, Pathology | Medical Laboratory | | MICHIGAN | No |
| 4 | 305S00000X | Point of Service | | | MICHIGAN | No |
| 5 | 246RP1900X | Technician, Pathology | Phlebotomy | | MICHIGAN | Yes |
| 6 | 174400000X | Specialist | | | MICHIGAN | No |
| 7 | 247ZC0005X | Pathology | Clinical Laboratory Director, Non-physician | | MICHIGAN | No |
