Optimum Pathology Services PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

OPTIMUM PATHOLOGY SERVICES PLLC

Practice address

1500 Eureka Road
Wyandotte, MI 48192

Phone

(734) 674-6403

Fax

(734) 282-6397

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Berte J Baker, DO

Title

President

Phone

(734) 674-6403

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720192362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77000",
            "address_2": "DEPT 78309",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482780309",
            "telephone_number": "734-674-6403",
            "fax_number": "734-282-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EUREKA ROAD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "734-674-6403",
            "fax_number": "734-282-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PATHOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BERTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-674-6403",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jonelle O'Neill, MD
• Toni C Ochs, RDH
• Melanie Gwen Odell
• Hailey Kristine Olds, MD
• Daniel W Olenchak, DO
• Jackie Lynn Orta, OTD, OTR/L
• Timothy Lee Otto, D.O.
• Leo D. Ottoni, M.D.
• Out of Ashes LLC
• P.T. Plus Therapeutic Resources, Inc.

• Anatomic Pathology & Clinical Pathology Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician 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.