DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC

MEDICARE: MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC
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
1207ZH0000XHematology (Pathology) Physician
2207ZB0001XBlood Banking & Transfusion Medicine Physician
3207ZC0500XCytopathology Physician
4207ZI0100XImmunopathology Physician
5207ZD0900XDermatopathology (Pathology) Physician
6207ZM0300XMedical Microbiology Physician
7207ZP0105XClinical Pathology/Laboratory Medicine Physician
8207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1578734281
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16001 W 9 MILE RD
Second Line : PROVIDENCE HOSPITAL, DEPARTMENT OF PATHOLOGY
City : SOUTHFIELD
State : MI
Zip : 48075-4818
Country : US
Telephone Number : 248-849-5401
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JUANITA EVANS
Credential : MD
Telephone Number : 248-849-3000
Provider Enumeration Date : 03/20/2008
Last Update Date : 02/19/2025

Similar Medicare Providers

1003871062 — HENRY FORD HEALTH PROVIDENCE HOSPITAL
Practice Location Address:
16001 W 9 MILE RD
SOUTHFIELD, MI
48075-4818
Practice Phone: 248-849-3000
Practice Fax: 248-849-2244
1437087723 — DR. AHMAD JALAL KANAWATI M.B.B.S.
Practice Location Address:
22250 PROVIDENCE DRIVE 7PMB , SUITE #703A
SOUTHFIELD, MI
48075-4818
Practice Phone: 248-849-5862
Practice Fax: 248-849-8117
1114929338 — SALLY RAE ARBUCKLE RN, NPC
Practice Location Address:
16001 W 9 MILE RD
SOUTHFIELD, MI
48075-4818
Practice Phone: 248-849-3000
Practice Fax:
1679577415 — MYRNA S DELEON MD
Practice Location Address:
16001 W 9 MILE RD
SOUTHFIELD, MI
48075-4818
Practice Phone: 248-849-3000
Practice Fax:
1568466498 — MS. KAREN E GRAY MSN, RN, CS, ONC
Practice Location Address:
16001 W 9 MILE RD
SOUTHFIELD, MI
48075-4818
Practice Phone: 248-849-8807
Practice Fax:
1255336327 — JOANNE RUTH DIETZ NP
Practice Location Address:
16001 W 9 MILE RD
SOUTHFIELD, MI
48075-4818
Practice Phone: 248-746-3218
Practice Fax: 248-746-0369
1679570014 — HEMA GOVIL MD
Practice Location Address:
16001 W 9 MILE RD
SOUTHFIELD, MI
48075-4818
Practice Phone: 248-849-3000
Practice Fax:

Directions to “MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC ” 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.