Grand Traverse Pathology, Pllc

LBN: Grand Traverse Pathology, Pllc
Grand Traverse Pathology, Pllc is an health care organization with primary practice located at 1105 6Th St , Traverse City MI 49684-2345. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Grand Traverse Pathology, Pllc can be contacted via phone (231) 935-0499, or through Bavikatty, Neil R via phone (866) 942-0836.

Contact Information

Primary practice address
1105 6Th St Traverse City MI 49684-2345
Phone: (231) 935-0499
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bavikatty, Neil R Doctor of Medicine (MD)
Phone: (866) 942-0836

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1306868427
LBN Legal business name Grand Traverse Pathology, Pllc
DBA Doing business as
Authorized official Bavikatty, Neil R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 12th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306868427 NPPES
Michigan Other 510047 PREFERRED CHOICES
Michigan Other 018175 PREFERRED CHOICES
Michigan Other 53481A PREFERRED CHOICES
Michigan Other CB1092 PREFERRED CHOICES
Michigan Other 820 PREFERRED CHOICES
Michigan Other 0B87602 PREFERRED CHOICES
Michigan Other 36478 PREFERRED CHOICES
Michigan Other XX01516 PREFERRED CHOICES

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