Active NPI
Westshore Pathology Services PLC
- Anatomic Pathology & Clinical Pathology Physician
- Muskegon, MI
National Provider Identifier
1881784734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- WESTSHORE PATHOLOGY SERVICES PLC
- Practice address
- 1774 Peck St
Muskegon, MI 49441-2533 - Phone
- (231) 728-5758
- Fax
- (231) 728-5636
- NPI assigned
- Oct 13, 2006
- Organization subpart
- Yes
- Parent organization
- WESTSHORE PATHOLOGY SERVICES PLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce A Reichardt, MD
- Title
- Laboratory Director
- Phone
- (231) 728-5758
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | CAPLAP2524601 | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | AUID1037588 | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1774 Peck St
Muskegon, MI 49441-2533
Mailing address
1774 Peck Street
Muskegon, MI 49441-2533
Phone (231) 728-5758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099460 | Medicaid | MI |
National Provider Directory
National Provider Directory- Part of
- Westshore Pathology Services PLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Medical Laboratory
- Muskegon, MI
- NPI 1699822189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193097600000",
"number": "1881784734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1774 PECK STREET",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412533",
"telephone_number": "231-728-5758",
"fax_number": "231-728-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1774 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412533",
"telephone_number": "231-728-5758",
"fax_number": "231-728-5636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSHORE PATHOLOGY SERVICES PLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTSHORE PATHOLOGY SERVICES PLC",
"enumeration_date": "2006-10-13",
"last_updated": "2007-10-23",
"status": "A",
"authorized_official_last_name": "REICHARDT",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "231-728-5758",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": "CAPLAP2524601",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": "AUID1037588",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2099460",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.