Pathologyservices.Org LLC

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

PATHOLOGYSERVICES.ORG LLC

Practice address

1465 E Parkdale Ave
Pathology Services.Org LLC Attn Lisa Worley
Manistee, MI 49660

Phone

(231) 590-5030

Fax

(231) 889-8969

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Worley, CT,IAC,ASCP

Title

Cytotechnologist President

Phone

(231) 590-5030

Specialties & licenses 10

Addresses

Other identifiers 3

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1972651818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 77225 PATHOLOGY SERVICES ORG LLC",
            "address_2": "PO BOX 77000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482770225",
            "telephone_number": "231-590-5030",
            "fax_number": "231-889-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 E PARKDALE AVE",
            "address_2": "PATHOLOGY SERVICES.ORG LLC ATTN LISA WORLEY",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "49660",
            "telephone_number": "231-590-5030",
            "fax_number": "231-889-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGYSERVICES.ORG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CYTOTECHNOLOGIST PRESIDENT",
        "authorized_official_telephone_number": "231-590-5030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CT,IAC,ASCP"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology",
            "state": "MI",
            "license": "4301051173 MD",
            "primary": false
        },
        {
            "code": "246QB0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Blood Banking",
            "state": "MI",
            "license": "4301051173",
            "primary": false
        },
        {
            "code": "246QC2700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Cytotechnology",
            "state": "CA",
            "license": "CLM089",
            "primary": false
        },
        {
            "code": "246QH0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": "MI",
            "license": "4301051173 MD",
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "MI",
            "license": "4301051173 MD",
            "primary": false
        },
        {
            "code": "246QC2700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Cytotechnology",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "246QH0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "246QL0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "246R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENCON",
            "identifier": "303702",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICH FEDERAL",
            "identifier": "71020000E1 1500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMMANA",
            "identifier": "162381523463",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Olson, PTA
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• Geoffrey Roland Paine, D.D.S.
• Luanne Parks, NP
• Pathology Services.Org LLC
• PDS I Michigan Inc
• Emma Peake
• Heather Pearson, RPH
• Teresa M Pechacek, MSW
• Alexander Perez

• Medical Laboratory Technician in Manistee, MI
• Providers in Manistee, MI by specialty
• Medical Laboratory Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.