Active NPI
Ameripath Institute of Urological Pathology PC
- Clinical Medical Laboratory
- Warren, MI
National Provider Identifier
1225000201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 23D1024436
- Legal business name
- AMERIPATH INSTITUTE OF UROLOGICAL PATHOLOGY PC
- Practice address
- 27472 Schoenherr Rd
Suite 100
Warren, MI 48088-6688 - Phone
- (586) 774-5819
- Fax
- (586) 774-5869
- NPI assigned
- Feb 3, 2006
- Reactivated
- Mar 19, 2012
- Organization subpart
- Yes
- Parent organization
- AMERIPATH INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michel H Greene
- Title
- VP
- Phone
- (214) 932-8270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 23D1024436 | MI | Primary |
Addresses
Primary practice location
27472 Schoenherr Rd
Suite 100
Warren, MI 48088-6688
Mailing address
7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4207
Phone (561) 712-6265
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L00236 | Medicaid | SC | |
| 4727299 | Medicaid | MI | |
| 0E01779 | Other | MI | BC/BS OF MICHIGAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Royal Oak, MI
- NPI 1386620730
-
- Anatomic Pathology & Clinical Pathology Physician
- Orlando, FL
- NPI 1811976798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332115200000",
"number": "1225000201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 FAIRWAY DR",
"address_2": "SUITE 400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184207",
"telephone_number": "561-712-6265",
"fax_number": "561-712-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27472 SCHOENHERR RD",
"address_2": "SUITE 100",
"city": "WARREN",
"state": "MI",
"postal_code": "480886688",
"telephone_number": "586-774-5819",
"fax_number": "586-774-5869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIPATH INSTITUTE OF UROLOGICAL PATHOLOGY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERIPATH INC.",
"enumeration_date": "2006-02-03",
"last_updated": "2012-03-19",
"deactivation_date": "2011-01-04",
"reactivation_date": "2012-03-19",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "MICHEL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "214-932-8270",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MI",
"license": "23D1024436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L00236",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4727299",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MICHIGAN",
"identifier": "0E01779",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.