OrganizationActive
Dermatopathology Laboratory of Central States - Michigan
NPI 1538552500 · Clinical Medical Laboratory · Troy, MI
Provider details
- NPI number
- 1538552500
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Dermatopathology Laboratory of Central States
- Organization subpart
- Yes
- Authorized official
- John Macke, Chief Executive Officer(937) 312-3826
Specialties & taxonomies
Laboratories
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Owendale Dr
Suite a
Troy, MI 48083-1914
Phone: (800) 592-5192
Fax: (248) 519-1047
Street-level locationGet directions
Mailing address
7835 Paragon Rd
Dayton, OH 45459-4021
Registry dates
- Enumerated
- 2015-03-14
- Last updated
- 2015-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.