Organization
REGIONAL PATHOLOGY CONSULTANTS, P.C.
Active
Other names
REGIONAL MEDICAL LABORATORIES PATHOLOGISTS, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L. DEPOMPOLO (BUSINESS MANAGER)
(269) 969-6161
Entity
Organization
Contact information
Practice address
175 COLLEGE ST, BATTLE CREEK, MI 49037-3432
(269) 969-6161
(269) 969-6078
Mailing address
175 COLLEGE ST, BATTLE CREEK, MI 49037-3432
(269) 969-6161
(269) 969-6078
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1846053
—
MI
01
—
220A360180
BCBSM
MI
01
—
220A360250
BCBSM
MI
01
—
220B376060
BCBSM
MI
01
—
P78675
BLUE CARE NETWORK
MI
Enumeration date
07/14/2006
Last updated
06/28/2010
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