Organization Active NPI

Northern Pathology Laboratory, P.C.

  • Clinical Medical Laboratory
  • Iron Mountain, MI
National Provider Identifier
1053469254
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Apr 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven J. Hunt, M.D.NPI 1396848289
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16 3349001MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.