Provider Demographics
NPI:1922116094
Name:PATHOLOGY ASSOCIATES INC PC
Entity Type:Organization
Organization Name:PATHOLOGY ASSOCIATES INC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:O
Authorized Official - Last Name:BLIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-262-9134
Mailing Address - Street 1:PO BOX 638039
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8039
Mailing Address - Country:US
Mailing Address - Phone:800-288-8325
Mailing Address - Fax:419-866-5453
Practice Address - Street 1:1 HURLEY PLZ
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5902
Practice Address - Country:US
Practice Address - Phone:810-262-9134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0999215OtherHEALTHPLUS OF MI
MI0B56001OtherBLUE CROSS BLUE SHIELD
MI220B56001OtherSELECTCARE
MI000000009429OtherCAPE HEALTH PLAN
MI023834OtherHEALTH ALLIANCE PLAN
MI025953OtherMIDWEST HEALTH PLAN
MICE4259OtherRAILROAD MEDICARE
MILP250004OtherM-CARE
MI29692OtherCOMMUNITY CHOICE OF MI
MI023834OtherHEALTH ALLIANCE PLAN