Provider Demographics
NPI:1922893932
Name:PATIENT PATHWAYS LAB & TESTING LLC
Entity type:Organization
Organization Name:PATIENT PATHWAYS LAB & TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-259-3663
Mailing Address - Street 1:18947 HARLOW ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3278
Mailing Address - Country:US
Mailing Address - Phone:248-259-3663
Mailing Address - Fax:
Practice Address - Street 1:27432 GROESBECK HWY # 103
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-2715
Practice Address - Country:US
Practice Address - Phone:248-259-3663
Practice Address - Fax:810-671-5881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine