Provider Demographics
NPI:1477628964
Name:PATHOLOGY CONSULTANTS, PC
Entity Type:Organization
Organization Name:PATHOLOGY CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENKE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:810-606-5560
Mailing Address - Street 1:1 GENESYS PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8065
Mailing Address - Country:US
Mailing Address - Phone:810-606-5560
Mailing Address - Fax:
Practice Address - Street 1:1 GENESYS PKWY
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8065
Practice Address - Country:US
Practice Address - Phone:810-606-5560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICI3852OtherRAILROAD MEDICARE
MI0B51068OtherBLUE CROSS BLUE SHIELD
MI112097OtherCARE CHOICES OF MI
MI32413OtherCOMMUNITY CHOICE MI
MILP250005OtherM-CARE
MILP250005OtherKIDS CARE
MI1015012OtherHEALTHPLUS MI
MI02999OtherPRIORITY HEALTH
MI0M70650OtherHEALTH ALLIANCE PLAN
MI=========051OtherCOMMUNITY CHOICE MI
MILP250005OtherM-CARE