Active NPI
Northern Pathology Laboratory, P.C.
- Clinical Medical Laboratory
- Iron Mountain, MI
National Provider Identifier
1053469254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NORTHERN PATHOLOGY LABORATORY, P.C.
- Practice address
- 206 E Smith St
Suite B
Iron Mountain, MI 49801-1822 - Phone
- (906) 774-5533
- Fax
- (906) 779-0009
- NPI assigned
- Jan 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven J. Hunt, M.D.
- Title
- Director
- Phone
- (906) 774-5533
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
206 E Smith St
Suite B
Iron Mountain, MI 49801-1822
Mailing address
206 E Smith St
Suite B
Iron Mountain, MI 49801-1822
Phone (906) 774-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16 3349001 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
206 E Smith St
Ste B
Iron Mountain, MI 49801
Phone (906) 774-5533
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Iron Mountain, MI
- NPI 1396848289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1053469254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E SMITH ST",
"address_2": "SUITE B",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498011822",
"telephone_number": "906-774-5533",
"fax_number": "906-779-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E SMITH ST",
"address_2": "SUITE B",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498011822",
"telephone_number": "906-774-5533",
"fax_number": "906-779-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN PATHOLOGY LABORATORY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-07",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "906-774-5533",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16 3349001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.