Organization
MEDICAL LABORATORIES OF MARQUETTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D WEISS MD (PRESIDENT)
(906) 228-9440
Entity
Organization
Contact information
Practice address
850 W BARAGA AVE, MARQUETTE, MI 49855
(906) 449-3000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01186
PRIORITY HEALTH
MI
01
—
0E26202
BLUE CROSS BLUE SHIELD
MI
01
—
134318200
US DEPT OF LABOR
MI
05
—
21270900
—
WI
01
—
CA3542
RAILROAD MEDICARE
MI
01
—
XX19302
HEALTHPLUS OF MICHIGAN
MI
Enumeration date
05/27/2006
Last updated
08/11/2022
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