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General NPI Number Information
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NPI Number | 1922893932
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Entity Type | Organization
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Legal Business Name | PATIENT PATHWAYS LAB & TESTING LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 27432 GROESBECK HWY # 103
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City | ROSEVILLE
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State | MI
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Zip | 48066-2715
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Country | US
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Telephone | 248-259-3663
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Fax | 810-671-5881
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Provider Business Mailing Address
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Address Line | 18947 HARLOW ST
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City | DETROIT
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State | MI
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Zip | 48235-3278
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Country | US
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Telephone | 248-259-3663
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SAVANNAH MCKEE
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Credential |
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Telephone | 248-259-3663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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