Active NPI
Advance Pathology Services P.C.
- Clinical Medical Laboratory
- Cadillac, MI
National Provider Identifier
1962791509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 4301407392
- Legal business name
- ADVANCE PATHOLOGY SERVICES P.C.
- Practice address
- 8865 Professional Dr Ste 3
Cadillac, MI 49601-8424 - Phone
- (231) 468-2346
- Fax
- (231) 468-2349
- NPI assigned
- Apr 5, 2011
- Last updated
- Apr 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxanne L Dufort
- Title
- Billing/Credentialing Agent
- Phone
- (231) 775-0374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 4301407392 | MI | Primary |
Addresses
Primary practice location
8865 Professional Dr Ste 3
Cadillac, MI 49601-8424
Mailing address
PO Box 87
Cadillac, MI 49601-0087
Phone (231) 775-0374
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Overland Park, KS
- NPI 1942289673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303862400000",
"number": "1962791509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496010087",
"telephone_number": "231-775-0374",
"fax_number": "231-775-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8865 PROFESSIONAL DR STE 3",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496018424",
"telephone_number": "231-468-2346",
"fax_number": "231-468-2349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE PATHOLOGY SERVICES P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-27",
"status": "A",
"authorized_official_last_name": "DUFORT",
"authorized_official_first_name": "ROXANNE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING/CREDENTIALING AGENT",
"authorized_official_telephone_number": "231-775-0374"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MI",
"license": "4301407392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.