DERMATOPATHOLOGY LABORATORY OF CENTRAL STATES - MICHIGAN
NPI 1538552500
Clinical Medical Laboratory in Troy, MI

Active since March 14, 2015
1100 OWENDALE DR, SUITE A, TROY, MI 48083(800) 592-5192(248) 519-1047 Get Directions Write a Review

NPPES record last updated: March 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatopathology Laboratory Of Central States - Michigan NPPES

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

DERMATOPATHOLOGY LABORATORY OF CENTRAL STATES - MICHIGAN (NPI 1538552500) is a healthcare organization registered as a clinical medical laboratory in Troy, Michigan and active in the NPI registry since March 2015. The organization lists John J. Macke, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1538552500
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameDERMATOPATHOLOGY LABORATORY OF CENTRAL STATES - MICHIGAN
Location Address1100 OWENDALE DR, SUITE ATroy, MI 48083-1914
Mailing Address7835 Paragon RdDayton, OH 45459-4021 · (800) 532-3232 · Fax (800) 840-0819
Fax(248) 519-1047
Organization SubpartYesParent: Dermatopathology Laboratory Of Central States
Authorized OfficialJohn J. MackeChief Executive Officer · (937) 312-3826
Enumeration DateMarch 14, 2015
NPI 1538552500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1100 OWENDALE DR, Troy, MI 48083

Other Identifiers 1

Medicare PINMI6067MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1100 OWENDALE DR, SUITE B
TROY, MI 48083

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 Dermatopathology Laboratory Of Central States - Michigan's NPI number?

The NPI number for Dermatopathology Laboratory Of Central States - Michigan is 1538552500. It was assigned to this organization in the NPPES registry on March 14, 2015.

Where is Dermatopathology Laboratory Of Central States - Michigan located?

Dermatopathology Laboratory Of Central States - Michigan is located at 1100 Owendale Dr Suite A, Troy, MI 48083. The listed phone number is (800) 592-5192.

What is Dermatopathology Laboratory Of Central States - Michigan's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Dermatopathology Laboratory Of Central States - Michigan was last updated on March 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.