NPIMap

Organization Active NPI

Michigan Multispecialty Physicians-Pathology

  • Clinical Medical Laboratory
  • Ypsilanti, MI
National Provider Identifier
1306896063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MICHIGAN MULTISPECIALTY PHYSICIANS-PATHOLOGY
Practice address
5301 E Huron River Dr
SJMH Clinical Laboratory
Ypsilanti, MI 48197-1051
Phone
(734) 712-5989
Fax
(734) 434-0330
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul N Valenstein, M.D.
Title
Division Head
Phone
(734) 712-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MI Primary

Addresses

Primary practice location

5301 E Huron River Dr
SJMH Clinical Laboratory
Ypsilanti, MI 48197-1051

Mailing address

PO Box 3499
Ann Arbor, MI 48106-3499
Phone (734) 712-5989

Other names 1

  • Pathology & Laboratory Management Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306896063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3499",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063499",
            "telephone_number": "734-712-5989",
            "fax_number": "734-434-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR",
            "address_2": "SJMH CLINICAL LABORATORY",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-5989",
            "fax_number": "734-434-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MULTISPECIALTY PHYSICIANS-PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENSTEIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIVISION HEAD",
        "authorized_official_telephone_number": "734-712-4081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology & Laboratory Management Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.