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Organization
PATHOLOGYSERVICES.ORG LLC
Active
Organization
PATHOLOGYSERVICES.ORG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA WORLEY CT,IAC,ASCP (CYTOTECHNOLOGIST PRESIDENT)
(231) 590-5030
Entity
Organization
Contact information
Practice address
1465 E PARKDALE AVE, PATHOLOGY SERVICES.ORG LLC ATTN LISA WORLEY, MANISTEE, MI 49660
(231) 590-5030
(231) 889-8969
Mailing address
DEPT 77225 PATHOLOGY SERVICES ORG LLC, PO BOX 77000, DETROIT, MI 48277-0225
(231) 590-5030
(231) 889-5969
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
4301051173 MD
MI
246QB0000X
Blood Banking Specialist/Technologist
4301051173
MI
246QC2700X
Cytotechnology Specialist/Technologist
CLM089
CA
246QC2700X
Cytotechnology Specialist/Technologist
—
MI
246QH0600X
Histology Specialist/Technologist
4301051173 MD
MI
246QL0900X
Laboratory Management Specialist/Technologist
—
MI
246R00000X
Pathology Technician
—
MI
246RM2200X
Medical Laboratory Technician
4301051173 MD
MI
246RM2200X
Medical Laboratory Technician
Primary
—
MI
Other
Enumeration date
01/08/2007
Last updated
04/20/2008
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