Mangini Dermatopathology PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MANGINI DERMATOPATHOLOGY PLLC

Practice address

42469 Garfield Rd
Clinton Township, MI 48038-1651

Phone

(586) 690-8983

Fax

(586) 690-8984

NPI assigned

Oct 9, 2011

Organization subpart

No

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

Authorized official

Name

Janine Mangini, M.D.

Title

Medical Director

Phone

(586) 690-8983

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1346524345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42469 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381651",
            "telephone_number": "586-690-8983",
            "fax_number": "586-690-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42469 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381651",
            "telephone_number": "586-690-8983",
            "fax_number": "586-690-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGINI DERMATOPATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-09",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "MANGINI",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-690-8983",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "291U00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Maltester
• Irfan Mamoun, M.D.
• Manaf Seid-Arabi, M.D. P.C.
• Christine Rose Mandich, MALLP
• Kathleen Patricia Mandley, LLMSW
• Keirston Marie Mann, RBT
• Megan Kristine Mann
• Stephaine Mann, CNA
• Bianca Marie Mannariat, MBBS
• Julia Rose Manni

• Clinical Medical Laboratory in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.