Organization
ADVANCE PATHOLOGY SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE L DUFORT (BILLING/CREDENTIALING AGENT)
(231) 775-0374
Entity
Organization
Contact information
Practice address
8865 PROFESSIONAL DR STE 3, CADILLAC, MI 49601-8424
(231) 468-2346
(231) 468-2349
Mailing address
PO BOX 87, CADILLAC, MI 49601-0087
(231) 775-0374
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
4301407392
MI
Other
Enumeration date
04/05/2011
Last updated
04/27/2011
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