Organization
DIRECT PATH SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J SCHWIMER D.O. (PRESIDENT/LABORATORY DIRECTOR)
(248) 220-4425
Entity
Organization
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 405, BINGHAM FARMS, MI 48025-4502
(248) 220-4425
(248) 220-4428
Mailing address
30200 TELEGRAPH RD, SUITE 405, BINGHAM FARMS, MI 48025-4502
(248) 220-4425
(248) 220-4428
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
5101015559
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H70792
BLUE CROSS BLUE SHEILD
MI
05
—
1730511346
—
MI
Enumeration date
08/06/2013
Last updated
11/22/2013
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