MATTHEW CUSICK PHD
NPI 1215890207
Pathology - Clinical Laboratory Director, Non-physician in Dexter, MI

Q: What is Matthew Cusick's NPI number?

The NPI number for Matthew Cusick is 1215890207. It was assigned to this individual provider in the NPPES registry on December 5, 2025.

Q: What is Matthew Cusick's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Cusick was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2025

11367 CASTLETON CT, DEXTER, MI 48130(801) 652-3146 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Matthew Cusick Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW CUSICK PHD (NPI 1215890207) is an individual clinical laboratory director, non-physician in Dexter, Michigan and active in the NPI registry since December 2025. He maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1215890207

Entity TypeIndividualMale

Primary Taxonomy247ZC0005X

Provider Legal NameMATTHEW CUSICKCredential: PHD

Location Address11367 CASTLETON CTDexter, MI 48130-8432

Mailing Address11367 Castleton CtDexter, MI 48130-8432 · (801) 652-3146

Phone(801) 652-3146

Sole ProprietorNo

Enumeration DateDecember 5, 2025

NPPES CertifiedDecember 5, 2025

✔ NPI 1215890207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

11367 CASTLETON CT, Dexter, MI 48130

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Secondary Practice Location 1

Location 12800 Plymouth Rd Bldg 36Ann Arbor, MI 48109-2800 · Phone (734) 764-0519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Cusick's NPI number?

The NPI number for Matthew Cusick is 1215890207. It was assigned to this individual provider in the NPPES registry on December 5, 2025.

Where is Matthew Cusick located?

Matthew Cusick practices at 11367 Castleton Ct, Dexter, MI 48130. The listed phone number is (801) 652-3146.

What is Matthew Cusick's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Matthew Cusick was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.