NPI 1023100500

Pathology Specialists of Southeast Michigan PC

Organisation Anatomic Pathology & Clinical Pathology Physician Detroit, MI

Practice location

Address: 22101 Moross Rd, Detroit, MI 48236-2148
Phone: (800) 288-8325
Fax: (419) 866-5453
Mailing address: PO Box 72572, Cleveland, OH 44192-0002

Authorised official

Name: Basim Al-Khafaji
Title: President
Phone: (313) 343-3521

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 403788 (MI)

Other Pathology providers in Michigan →

Registry record

NPI: 1023100500
Entity type: Organization
NPI issued: 29 Sep 2006
Record last updated: 19 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.