# KC PATHOLOGY ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801504964
- **Authorized official:** SHAFIQUL ALAM MD (GENERAL PARTNER)
- **Authorized official phone:** (248) 283-1100

## Contact information

- **Practice address:** 44400 VAN DYKE AVE, STERLING HEIGHTS, MI 48314-2370
- **Practice address phone:** (734) 717-2895
- **Mailing address:** 30700 TELEGRAPH RD STE 1645, BINGHAM FARMS, MI 48025-4525
- **Mailing address phone:** (248) 283-1100
- **Mailing address fax:** (248) 283-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 11/08/2022
- **Last updated:** 04/24/2023