Histodiagnostic Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

4301030046 Issued in MI

Legal business name

HISTODIAGNOSTIC LABORATORIES

Practice address

150 N Burgess St
West Branch, MI 48661-1106

Phone

(989) 345-1387

Fax

(989) 345-2591

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James R Hall, MD

Title

President

Phone

(989) 345-1387

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376620633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N BURGESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611106",
            "telephone_number": "989-345-1387",
            "fax_number": "989-345-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N BURGESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611106",
            "telephone_number": "989-345-1387",
            "fax_number": "989-345-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISTODIAGNOSTIC LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-345-1387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "4301030046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Home Care LLC (ProMedica Home Health (West Branch))
• Tiffany Lynn Heckman-Smith
• Henry Ford Health System (Henry Ford Health Products)
• David Hickman, NP
• Andrew Hilton
• David Jonathan Hobbs, M.D.
• Keri Ann Hodgins, CFNP
• Michael Vernon Hollis, MD
• Anthony Paul Holst
• Alicia Ann Homan

• Clinical Medical Laboratory in West Branch, MI
• Providers in West Branch, 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 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.