Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1548244973

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 4301048449 (MI). The NPI Number for Unknown Individual is 1548244973

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548244973
Phone
(313) 499-3000
Address
5700 SOUTHWYCK BLVD
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865735000
Graduation Year
1964 (62 years ago)
PAC ID
7214085711
Group Practice PAC ID
1456443670
Professional Enrollment ID
I20100806000761
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436141509

    Phone: (313) 499-3000

    Type: Mailing

  • 7733, East Jefferson Avenue, West Village, Detroit, Wayne County, Michigan, 48214, United States

    DETROIT, MI 482143707

    Phone: (313) 499-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43614)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMI88304Pathology examination of tissue using a microscope, moderately low complexity141124
PATHOLOGYMI88307Pathology examination of tissue using a microscope, moderately high complexity10670

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1548244973.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Toledo, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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