# PATHOLOGYSERVICES.ORG LLC

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

## Provider details

- **NPI number:** 1972651818
- **Authorized official:** MS. LISA WORLEY CT,IAC,ASCP (CYTOTECHNOLOGIST PRESIDENT)
- **Authorized official phone:** (231) 590-5030

## Contact information

- **Practice address:** 1465 E PARKDALE AVE, PATHOLOGY SERVICES.ORG LLC ATTN LISA WORLEY, MANISTEE, MI 49660
- **Practice address phone:** (231) 590-5030
- **Practice address fax:** (231) 889-8969
- **Mailing address:** DEPT 77225 PATHOLOGY SERVICES ORG LLC, PO BOX 77000, DETROIT, MI 48277-0225
- **Mailing address phone:** (231) 590-5030
- **Mailing address fax:** (231) 889-5969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | MI | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 04/20/2008