MEDICARE: CHARLA ROSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Q00000X	Pathology Specialist/Technologist		MI

General Provider Information

NPI Number	:	1174453385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLA ROSS

Provider Business Mailing Address
First Line	:	19480 FIELDING ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-2070
Country	:	US
Telephone Number	:	586-625-2161
Fax Number	:

Provider Business Practice Location Address
First Line	:	19480 FIELDING ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-2070
Country	:	US
Telephone Number	:	586-625-2161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

Similar Medicare Providers

1164841433 — HOME WITH A HEART,LLC.
Practice Location Address:

2506 EDISON ST
DETROIT, MI
48206-2070

Practice Phone: 586-625-6513
Practice Fax:

1295793875 — GREGORY LARSON MEDICAL TECHNOLOGIST
Practice Location Address:

40520 CO HWY 34 , WHITE EARTH HEALTH CENTER
OGEMA, MN
56569

Practice Phone: 218-983-4300
Practice Fax: 218-983-6217

1972651818 — PATHOLOGYSERVICES.ORG LLC
Practice Location Address:

1465 E PARKDALE AVE , PATHOLOGY SERVICES.ORG LLC ATTN LISA WORLEY
MANISTEE, MI
49660

Practice Phone: 231-590-5030
Practice Fax: 231-889-8969

1528931649 — LAVEATRICE BROWN
Practice Location Address:

4444 2ND AVE STE 1006
DETROIT, MI
48201-1216

Practice Phone: 313-878-6534
Practice Fax:

1194798173 — BRUCE E KING M.D.
Practice Location Address:

555 N DUKE ST
LANCASTER, PA
17602-2250

Practice Phone: 717-544-5511
Practice Fax:

1053384032 — JOHN YELCICK M.D.
Practice Location Address:

555 N DUKE ST
LANCASTER, PA
17602-2250

Practice Phone: 717-544-5511
Practice Fax:

Directions to “ CHARLA ROSS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.