Jackson Pathology Associates, Pc in Jackson - Anatomic Pathology & Clinical Pathology
Jackson Pathology Associates, Pc - NPI 1548322464
Jackson Pathology Associates, Pc is a Anatomic Pathology & Clinical Pathology in Jackson, Michigan. Jackson Pathology Associates, Pc practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Jackson Pathology Associates, Pc is 1548322464. The last update date is 2008-04-20.
Jackson Pathology Associates, Pc's current location address is 205 N East Ave, Jackson, Michigan. You can contact this provider via phone number 5177884951. The mailing address for Jackson Pathology Associates, Pc is 205 N East Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Pathology Associates, Pc |
|---|---|
| Address | 205 N East Ave, Jackson, Michigan |
| Phone Number | 5177884951 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dieterle Richard |
| Credentials | MD |
| Telephone Number | 5177884951 |
NPI Number Detail
| NPI Number | 1548322464 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 205 N East Ave |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492011753 |
| Phone Number | 5177884951 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology & Clinical Pathology |
|---|---|
| Taxonomy | 207Zp0102X |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1006045 | MI | INGHAM HEALTH PLAN | |
| 0C86006 | MI | BLUE CROSS BLUE SHIELD MI | |
| 104757 | MI | PREFERRED CHOICES | |
| XX05469 | MI | HEALTHPLUS OF MI | |
| 134848800 | MI | FEDERAL BLACK LUNG | |
| 37102 | MI | COMMUNITY CHOICE OF MI | |
| M011703 | MI | UNITED MINE WORKERS | |
| 1006045 | MI | JACKSON COUNTY HEALTHPLAN | |
| 13484880 | MI | US DEPT OF LABOR WORKCOMP | |
| CN1205 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackson Pathology Associates, Pc by the Centers for Medicare & Medicaid Services?
The Jackson Pathology Associates, Pc has been assigned the NPI (National Provider Identifier) 1548322464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jackson Pathology Associates, Pc is located?
The Jackson Pathology Associates, Pc is situated at the following address: 205 N East Ave, Jackson, MI, 492011753.
What is Jackson Pathology Associates, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackson Pathology Associates, Pc's area of specialization is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code that categorizes this field of practice is 207Zp0102X.
On what date was the 1548322464 assigned to Jackson Pathology Associates, Pc?
The Jackson Pathology Associates, Pc was issued its 1548322464 on 2006-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jackson Pathology Associates, Pc last refreshed?
The information related to the Jackson Pathology Associates, Pc, including its address, specialty, and other relevant details, was last updated on 2008-04-20.